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Volume 23 |
April - June 2007 (Part-II) |
Number 3 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ORIGINAL ARTICLE |
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Volume 23 |
April - June 2007 (Part-II) |
Number 3 |
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Utilization of Blood in Elective Cholecystectomy
Mahmood Muizuddin1, Masood Jawaid2,
Shams Nadeem Alam3, Sadia Saewas Soomro4, S. Manzar5ABSTRACT
Objective: To evaluate Blood Ordering and Transfusion ratios for elective cholecystectomy.
Patients and Methods: All patients who underwent elective cholocystectomy in Surgical Unit III, Civil Hospital, Karachi from December 2005 to November 2006 were included in this study. Blood units cross matched and units transfused intra-operative and post-operatively were recorded apart from patient demography and hepatitis profile.
Results: A total of 132 patients underwent elective open cholecystectomy during the study period. Total 181 blood units arranged, among these only nine units of blood were transfused. This means only only 4.9% of blood was utilized while 95.1% of blood was not utilized. Cross-match to transfusion ratio = 20.11, Transfusion probability=6.8 and Transfusion index=0.06.
Conclusion: For elective cholecystectomy, there is no need for routine cross matching of blood. However, one must confirm the availability of blood for Hepatitis B and Hepatitis C reactive patients, and for cases with recurrent acute cholecystitic attacks.
KEY WORDS: Blood transfusion, Elective Cholecystectomy, Cross-match to transfusion ratio, Transfusion probability, Transfusion index.
Pak J Med Sci May - June 2007 Vol. 23 No. 3 331-333
1. Dr. Mehmood Muizuddin
Resident Medical Officer
2. Dr. Masood Jawaid
Resident Medical Officer
3. Dr. Shams Nadeem Alam
Assistant Professor
4. Dr. Sadia Saewas Soomro
House Officer
5. Prof. S. Manzar
Professor of Surgery
1-5: Surgical Unit II,
Civil Hospital,
Karachi - Pakistan.
Correspondence
Dr. Shams Nadeem Alam,
Assistant Professor,
Surgical Unit II, Civil Hospital,
Karachi – Pakistan.
Email: shamsalam@hotmail.com
* Received for Publication: March 13, 2007
* Accepted: May 5, 2007
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