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Complete and Partial Aortic Occlusion for the Treatment of Hemorrhagic Shock in Swine

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[The maximum surgical blood order schedule].

Ana Oliveira¹, Rita Fleming, Miguel Galvão

¹Serviço de Imuno-Hemoterapia, Hospital de Santa Maria, Lisboa, Portugal.

Acta Medica Portuguesa

|March 23, 2007

Summary

Over-ordering blood for elective surgeries is common. This study analyzed blood usage in Portugal, finding that optimizing the Maximum Surgical Blood Order Schedule (MSBOS) is crucial for efficient blood management and reducing waste.

Area of Science:

Transfusion Medicine
Healthcare Management

Context:

Elective surgeries often involve over-ordering of blood products.
Efficient blood utilization is a key goal in transfusion services.
The Maximum Surgical Blood Order Schedule (MSBOS) aims to standardize blood ordering practices.

Purpose:

To analyze crossmatched blood units versus transfused blood in elective surgeries.
To determine the crossmatch:transfusion (C:T) rate in a Portuguese hospital.
To evaluate the effectiveness of MSBOS in promoting efficient blood use.

Summary:

This Portuguese study analyzed blood ordering and transfusion data for elective surgeries.
The crossmatch:transfusion (C:T) rate was assessed, with a target of less than 2.5.
Discrepancies between ordered and transfused blood were notable, particularly for Type and Screen procedures.

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Impact:

Highlights the need for regular MSBOS updates to reflect changes in surgical techniques, patient conditions, and available hemostatic agents.
Provides data for optimizing blood inventory management and reducing wastage.
Informs best practices for blood utilization in surgical settings.