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Cross-match requirements in head and neck surgery
1Department of Otolaryngology, Royal Infirmary, Glasgow, UK.
Clinical Otolaryngology and Allied Sciences
|April 1, 1989
Summary
Routine blood cross-matching for certain head and neck surgeries is unnecessary. Adopting a policy of pre-operative blood grouping and antibody screening can improve blood utilization and reduce waste.
Area of Science:
- Transfusion Medicine
- Surgical Oncology
- Health Services Research
Background:
- Blood cross-matching is a standard procedure before surgery.
- Optimizing blood usage is crucial for healthcare efficiency and resource management.
- Head and neck surgeries have varying transfusion requirements.
Purpose of the Study:
- To audit blood ordering practices in elective head and neck surgery.
- To compare cross-matched versus transfused blood units.
- To propose optimized blood management strategies for these procedures.
Main Methods:
- Audit of blood ordering and transfusion data.
- Analysis of blood usage during laryngectomy and radical neck dissection.
- Comparison with other major head and neck operations.
Main Results:
- Routine cross-matching is unnecessary for laryngectomy and radical neck dissection.
- Preoperative blood grouping, antibody screening, and serum saving are effective alternatives.
- Guidelines for cross-matching units for other major head and neck surgeries are suggested.
Conclusions:
- Implementing revised blood ordering policies can significantly reduce unnecessary cross-matching.
- These changes lead to decreased wastage of time-expired blood.
- Improved blood utilization and increased efficiency in transfusion services can be achieved.