Preoperative cross-matching in major head and neck surgery: a study of a department's current practice and eligibility for electronic cross-matching

Inas H. Nasr; Arathi Papineni McIntosh; Karim Hussain; Michael J. Fardy

doi:10.1016/j.oooo.2013.06.034

Preoperative cross-matching in major head and neck surgery: a study of a department's current practice and eligibility for electronic cross-matching

Inas H. Nasr^*, Arathi Papineni McIntosh, Karim Hussain, Michael J. Fardy

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

Objective. The maximum surgical blood ordering schedule (MSBOS) has reduced but not eliminated the over-ordering and wastage of blood products. Electronic cross-matching (ECM) may be a suitable alternative method to provide blood on demand in eligible cases. The purpose of this study was to assess the department's current blood ordering policy and to identify patients eligible for ECM.

Study Design. This was a retrospective observational study of 88 consecutive maxillofacial surgical oncology patients.

Results. A total of 383 units of blood were cross-matched, of which 43% were not transfused. Of these, 38% were reallocated and 5% discarded. Of all cross-matched blood, 82% was eligible for ECM; 18% was not eligible, 6% because of the presence of antibodies and 12% because of lack of a second historical sample.

Conclusions. ECM is recommended as a safe method for elective surgery. Blood can be provided on demand, reducing workload and costs for transfusion services and minimizing wastage.

Original language	English
Pages (from-to)	534-539
Number of pages	6
Journal	Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics
Volume	116
Issue number	5
DOIs	https://doi.org/10.1016/j.oooo.2013.06.034
Publication status	Published - Nov 2013

Keywords

FREE-FLAP RECONSTRUCTION
PRETRANSFUSION COMPATIBILITY PROCEDURES
BLOOD-TRANSFUSION LABORATORIES
COMPUTER
REQUIREMENTS
ARTHROPLASTY
HIP
PREDICTION
GUIDELINES
EFFICIENCY

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10.1016/j.oooo.2013.06.034

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@article{f34dd044f9224d55868512666a007ff1,

title = "Preoperative cross-matching in major head and neck surgery: a study of a department's current practice and eligibility for electronic cross-matching",

abstract = "Objective. The maximum surgical blood ordering schedule (MSBOS) has reduced but not eliminated the over-ordering and wastage of blood products. Electronic cross-matching (ECM) may be a suitable alternative method to provide blood on demand in eligible cases. The purpose of this study was to assess the department's current blood ordering policy and to identify patients eligible for ECM.Study Design. This was a retrospective observational study of 88 consecutive maxillofacial surgical oncology patients.Results. A total of 383 units of blood were cross-matched, of which 43% were not transfused. Of these, 38% were reallocated and 5% discarded. Of all cross-matched blood, 82% was eligible for ECM; 18% was not eligible, 6% because of the presence of antibodies and 12% because of lack of a second historical sample.Conclusions. ECM is recommended as a safe method for elective surgery. Blood can be provided on demand, reducing workload and costs for transfusion services and minimizing wastage.",

keywords = "FREE-FLAP RECONSTRUCTION, PRETRANSFUSION COMPATIBILITY PROCEDURES, BLOOD-TRANSFUSION LABORATORIES, COMPUTER, REQUIREMENTS, ARTHROPLASTY, HIP, PREDICTION, GUIDELINES, EFFICIENCY",

author = "Nasr, {Inas H.} and McIntosh, {Arathi Papineni} and Karim Hussain and Fardy, {Michael J.}",

year = "2013",

month = nov,

doi = "10.1016/j.oooo.2013.06.034",

language = "English",

volume = "116",

pages = "534--539",

journal = "Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics",

issn = "2212-4403",

publisher = "Mosby Inc.",

number = "5",

}

Preoperative cross-matching in major head and neck surgery: a study of a department's current practice and eligibility for electronic cross-matching. / Nasr, Inas H.; McIntosh, Arathi Papineni; Hussain, Karim et al.
In: Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics, Vol. 116, No. 5, 11.2013, p. 534-539.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Preoperative cross-matching in major head and neck surgery

T2 - a study of a department's current practice and eligibility for electronic cross-matching

AU - Nasr, Inas H.

AU - McIntosh, Arathi Papineni

AU - Hussain, Karim

AU - Fardy, Michael J.

PY - 2013/11

Y1 - 2013/11

N2 - Objective. The maximum surgical blood ordering schedule (MSBOS) has reduced but not eliminated the over-ordering and wastage of blood products. Electronic cross-matching (ECM) may be a suitable alternative method to provide blood on demand in eligible cases. The purpose of this study was to assess the department's current blood ordering policy and to identify patients eligible for ECM.Study Design. This was a retrospective observational study of 88 consecutive maxillofacial surgical oncology patients.Results. A total of 383 units of blood were cross-matched, of which 43% were not transfused. Of these, 38% were reallocated and 5% discarded. Of all cross-matched blood, 82% was eligible for ECM; 18% was not eligible, 6% because of the presence of antibodies and 12% because of lack of a second historical sample.Conclusions. ECM is recommended as a safe method for elective surgery. Blood can be provided on demand, reducing workload and costs for transfusion services and minimizing wastage.

AB - Objective. The maximum surgical blood ordering schedule (MSBOS) has reduced but not eliminated the over-ordering and wastage of blood products. Electronic cross-matching (ECM) may be a suitable alternative method to provide blood on demand in eligible cases. The purpose of this study was to assess the department's current blood ordering policy and to identify patients eligible for ECM.Study Design. This was a retrospective observational study of 88 consecutive maxillofacial surgical oncology patients.Results. A total of 383 units of blood were cross-matched, of which 43% were not transfused. Of these, 38% were reallocated and 5% discarded. Of all cross-matched blood, 82% was eligible for ECM; 18% was not eligible, 6% because of the presence of antibodies and 12% because of lack of a second historical sample.Conclusions. ECM is recommended as a safe method for elective surgery. Blood can be provided on demand, reducing workload and costs for transfusion services and minimizing wastage.

KW - FREE-FLAP RECONSTRUCTION

KW - PRETRANSFUSION COMPATIBILITY PROCEDURES

KW - BLOOD-TRANSFUSION LABORATORIES

KW - COMPUTER

KW - REQUIREMENTS

KW - ARTHROPLASTY

KW - HIP

KW - PREDICTION

KW - GUIDELINES

KW - EFFICIENCY

U2 - 10.1016/j.oooo.2013.06.034

DO - 10.1016/j.oooo.2013.06.034

M3 - Article

SN - 2212-4403

VL - 116

SP - 534

EP - 539

JO - Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics

JF - Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics

IS - 5

ER -

Preoperative cross-matching in major head and neck surgery: a study of a department's current practice and eligibility for electronic cross-matching

Abstract

Keywords

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