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A retrospective study of blood-ordering patterns and blood use for elective urologic procedures was done. Only in a few surgical procedures, such as cystectomies, open prostatectomies, and nephrectomies, do the patients commonly receive blood transfusions. Blood is rarely used for a large number of other procedures. In such cases routine crossmatching of blood can be safely substituted by "type and screen." A guideline for preoperative blood-ordering is proposed that may substantially improve utilization of blood without jeopardizing patient care.
A retrospective study of blood-ordering patterns and blood use for elective urologic procedures was done. Only in a few surgical procedures, such as cystectomies, open prostatectomies, and nephrectomies, do the patients commonly receive blood transfusions. Blood is rarely used for a large number of other procedures. In such cases routine crossmatching of blood can be safely substituted by "type and screen." A guideline for preoperative blood-ordering is proposed that may substantially improve utilization of blood without jeopardizing patient care.