Audit of perioperative blood transfusion

Yin Choy Choy, W. L. Lim, S. H. Ng

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    The main goal of perioperative transfusion is to reduce the morbidity and mortality associated with inadequate delivery of oxygen to the tissues during surgery. In this audit, the primary trigger for transfusion was clinical anaemia assessed by examination of a patient's conjunctiva [40.7%] followed by estimation of blood loss of greater 20% of total blood volume [29.3%]. Haemoglobin estimation in the operation theater was not done in 45.9% of studied patients and only 7.8% patients had transfusion based on this criteria. A common practice is to transfuse blood for hypovolaemia. This was the indication for blood transfusion in 96 patients (7.8%). Inappropriate use of blood in this way has led to wastage of a valuable resource and exposed patients to potential risks of unwanted side effects. Analysis of haemoglobin estimation at recovery room showed 32% of patient with co-morbidities had Hb > 10 gm% while 65% and 29.5% of patients without co-morbidities had Hb > 8 gm% and 10 gm% respectively. This reflects the practice of anaesthetists in maintaining a target of Hb of 10 gm% for both groups of patients while a target of 8 gm% is still relatively safe for patients with good cardiovascular reserves. This has resulted in signifant use of homologous blood which will certainly burden the blood bank and increase the cost of healthcare.

    Original languageEnglish
    Pages (from-to)299-302
    Number of pages4
    JournalMedical Journal of Malaysia
    Volume62
    Issue number4
    Publication statusPublished - Oct 2007

    Fingerprint

    Blood Transfusion
    Morbidity
    Hemoglobins
    Recovery Room
    Blood Banks
    Hypovolemia
    Conjunctiva
    Blood Volume
    Health Care Costs
    Anemia
    Oxygen
    Mortality

    Keywords

    • Audit of perioperative blood use
    • Blood transfusion
    • Group and screen

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Choy, Y. C., Lim, W. L., & Ng, S. H. (2007). Audit of perioperative blood transfusion. Medical Journal of Malaysia, 62(4), 299-302.

    Audit of perioperative blood transfusion. / Choy, Yin Choy; Lim, W. L.; Ng, S. H.

    In: Medical Journal of Malaysia, Vol. 62, No. 4, 10.2007, p. 299-302.

    Research output: Contribution to journalArticle

    Choy, YC, Lim, WL & Ng, SH 2007, 'Audit of perioperative blood transfusion', Medical Journal of Malaysia, vol. 62, no. 4, pp. 299-302.
    Choy YC, Lim WL, Ng SH. Audit of perioperative blood transfusion. Medical Journal of Malaysia. 2007 Oct;62(4):299-302.
    Choy, Yin Choy ; Lim, W. L. ; Ng, S. H. / Audit of perioperative blood transfusion. In: Medical Journal of Malaysia. 2007 ; Vol. 62, No. 4. pp. 299-302.
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