Evaluation of Blood Utilization in Elective Surgery-Requirement, Ordering and Transfusion Practices

Aims and Objectives: To evaluate utilization of blood in different surgical procedures. To study average requirement of blood in different surgical procedures. To formulate maximum surgical blood order schedule (MSBOS). Methodology: In this study 319 patients were included which admitted in Krishna Hospital from Feb. 2013-Jan. 2014, who undergone different surgical procedures for whom a preoperative cross-match was requested. The cases were studied in special performa which includes preoperative data of previous history of blood transfusion, patient’s Wt., blood group and no. of blood units cross-matched and no. of units transfused for the procedure. Intraoperative data regarding blood loss notified. Result: Analysis was done based on criteria like Cross matched to transfusion ratio(C/T ratio), Transfusion Probability, Transfusion Index, MSBOS. Conclusion: Based on this study there is gross over ordering of blood for many procedures which can be minimized by T & S procedure. MSBOS should be done before any major surgical procedure in which blood transfusion required