Cross-matched blood in elective colorectal surgery: a wasted resource?: LTP12

    loading  Checking for direct PDF access through Ovid


Aim:Because of the risk of bleeding blood is always cross-matched for elective colorectal surgery but may be unused and wasted. Traditional cross-matching takes up to 45 min and transfusion departments canprovide electronically issued blood (EIB) to > 95% patients within 10 min. The purpose of this study was to examine whether cross-matching blood for all colorectalprocedures is justified.Method:Retrospective observational study included 164 consecutive patients (44 men, 24 women; median age 68 years) who underwent major colorectal intervention. Demographic and operative data, number of units of blood cross-matched and used, reasons for transfusion were analysed.Results:Surgicalprocedures performed were anterior resection (28%), right hemicolectomy (25%), sigmoid colectomy (20%), reversal of Hartmann's (9%) and other colorectal resection (18%). The majority (78%) of patients were suitable for EIB. Blood transfusionproved necessary in only 21 patients (13%) and was post-operative in 12 of them. One patient required an emergency transfusion and remaining received blood [non-urgently].Conclusion:Very small numbers of patients undergoing elective colorectal surgery require blood transfusions, most of which are needed non-urgently. Patients suitable for EIB should not be crossmatched bloodpreoperatively. Increasing suitability for EIB will allow the majority of patients to undergo surgery safely without routine cross matching of blood.

    loading  Loading Related Articles