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Pre-operative haemoglobin estimation in paediatric ENT surgery

T J Hoare1

  • 1Russells Hall Hospital, Dudley, West Midlands.

The Journal of Laryngology and Otology
|December 1, 1993
PubMed
Summary

Routine pre-operative hemoglobin testing in children undergoing ENT surgery is unnecessary and costly. Evidence suggests it is safe to forgo this test, potentially saving significant funds annually.

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Area of Science:

  • Pediatric Surgery
  • Hematology
  • Anesthesia

Background:

  • Routine pre-operative hemoglobin estimation is common practice before ENT surgery.
  • This practice is questioned due to being unnecessary, traumatic, and expensive.

Purpose of the Study:

  • To evaluate the necessity and safety of routine pre-operative hemoglobin estimation in children undergoing ENT surgery.

Main Methods:

  • Hemoglobin levels were assessed in 372 children scheduled for ENT surgery over one year.
  • Clinical anemia and hemoglobin levels below 9 g/dL were monitored.
  • Outcomes for children with hemoglobin levels ≤10.5 g/dL were analyzed.

Main Results:

  • No children presented with clinical anemia or hemoglobin <9 g/dL.
  • 18 children had hemoglobin levels ≤10.5 g/dL; 10 had operations postponed, 8 proceeded without complications.
  • No adverse events were observed in children who underwent surgery with mild anemia.

Conclusions:

  • Routine pre-operative hemoglobin testing in children for ENT surgery is not supported by evidence.
  • Discontinuing this routine testing can lead to significant cost savings without compromising patient safety.
  • Further research should confirm the safety of operating on children with mild anemia.

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