Volume 11, Issue 44 (3-2005)                   RJMS 2005, 11(44): 939-944 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Khalili Aalam K, Zare Mirzaie A, Jalilvand A. Maximum Surgical Blood Ordering Schedule(MSBOS) in Elective Surgery Cases: An Original Study in Firoozgar Hospital. RJMS 2005; 11 (44) :939-944
URL: http://rjms.iums.ac.ir/article-1-93-en.html
Abstract:   (9788 Views)
Blood over ordering is a common practice in elective surgeries which can be corrected by a simple mean of changing the blood ordering pattern. Nowadays, the use of Maximum Surgical Blood Ordering Schedule (MSBOS) is the accepted standard of practice for hospital blood banking almost throughout the world. Therefore, a retrospective study was carried out for the first time in Firoozgar Hospital for a period of one year (2002) to study the ordering strategies in this hospital. Blood ordering and transfusion practices were evaluated in 364 elective surgical patients including 6 common major procedures: cesarean section (C/S), thyroidectomy, total hysterectomy, laminectomy, cholecystectomy and modified radical mastectomy (MRM) with the help of different indices such as cross-match to transfusion ratio (C/T ratio), transfusion probability (T%) and transfusion index (TI). Transfusion guidelines for these 6 procedures were proposed. Due to existence of a high total C/T ratio (21.5) (accepted standard value=2.5 times) and very low utilisation percenage of cross-matched units (only 4.7%), it is concluded that change of blood ordering pattern in this hospital is necessary. Also, type and screen (T&S) procedure can be introduced in these 6 procedures as a guideline for preoperative blood ordering.
Full-Text [PDF 200 kb]   (6279 Downloads)    
Type of Study: Research | Subject: Pathology

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Razi Journal of Medical Sciences

Designed & Developed by : Yektaweb