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Pre-operative haemoglobin estimation in paediatric ENT surgery
1Russells Hall Hospital, Dudley, West Midlands.
The Journal of Laryngology and Otology
|December 1, 1993
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.
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.