Removing the Need for Crossmatched Blood in Elective EVAR

Abstract Objectives The unit cost for crossmatching blood is £137.22 (€158.94). A maximum surgical blood order schedule for elective EVAR does not exist. We studied the crossmatch to transfusion ratio in our series to establish this recommendation. Materials and methods A single centre retrospective...

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Veröffentlicht in:	European journal of vascular and endovascular surgery 2012-03, Vol.43 (3), p.282-285
Hauptverfasser:	Mann, K, Sim, I, Ali, T, Chong, P, Leopold, P, Hatrick, A, Gerrard, D
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Aortic Aneurysm, Abdominal - surgery Blood Grouping and Crossmatching - economics Blood Grouping and Crossmatching - utilization Blood Loss, Surgical - prevention & control Blood Loss, Surgical - statistics & numerical data Blood Transfusion - economics Blood Transfusion - utilization Crossmatch transfusion ratio Elective Surgical Procedures - adverse effects Elective Surgical Procedures - economics Elective Surgical Procedures - methods Endovascular Procedures - adverse effects Endovascular Procedures - methods EVAR Female Health Services Needs and Demand - organization & administration Humans Male Maximum surgical blood ordering schedule Retrospective Studies Surgery Transfusion
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Zusammenfassung:	Abstract Objectives The unit cost for crossmatching blood is £137.22 (€158.94). A maximum surgical blood order schedule for elective EVAR does not exist. We studied the crossmatch to transfusion ratio in our series to establish this recommendation. Materials and methods A single centre retrospective study of consecutive EVAR cases between October 2001 and December 2010. Blood loss, units transfused and indication for transfusion per case were analysed. Results 203 elective EVAR cases were studied. Median blood loss was 200 ml with a mean of 288 ml (range 50–8400 ml). A total of twelve patients (6%) required blood transfusion. Six cases (3%) for postoperative Hb
ISSN:	1078-5884 1532-2165
DOI:	10.1016/j.ejvs.2011.11.026