haematology
Contributions
Type: Publication Only
Background
In 2013 the UK chief medical officers iniative Patient Blood Management superseded Better Blood Transfusion.
Patient Blood Management is a multidisciplinary, evidence-based approach to optimising the care of patients who might need blood transfusion. Patient Blood Management puts the patient at the heart of decisions made about blood transfusion to ensure they receive the best treatment and avoidable, inappropriate use of blood and blood components is reduced
Reduced blood usage will reduce demand, therefore less pressure on Northern Ireland Blood Transfusion Service. In turn will mean less shortages and more blood available for emergencies.
If a transfusion is avoided then there is no risk of a transfusion reaction.
Safest blood transfusion is the one not given.
Aims
Can blood transfusions be prevented during elective procedures?
Methods
A surgical list of all elective hip replacements was obtained between 01/09/2013 and 31/12/2013.
Preoperative assessment including baseline haemoglobin was recorded.
Post operative complications including haemoglobin drop and blood transfusions were looked at.
Results
68 patients underwent elective hip replacements during this time.
5 patients underwent post operative blood transfusions
12/68 had pre operative haemoglobins <120g/l
56/68 had pre operative hb >120g/l
0% of patients with a pre operative hb >120g/l required a blood transfusion.
5/12 patients with a pre operative hb<120g/l required at least 1 unit of packed red cells post operatively.
Summary
All patients with a hb<120g/l at present are not being added to the elective hip replacement list until their anaemia is investigated and managed appropriately. General Practitioners received a letter indicating that the pre operative assessment has detected anaemia, also enclosed is guidelines regarding the investigation of anaemia. Once the patients anaemia has been treated or hb optimised the patient is returned to the waiting list.
The safest blood transfusion is the one not received.
Session topic: Publication Only
Type: Publication Only
Background
In 2013 the UK chief medical officers iniative Patient Blood Management superseded Better Blood Transfusion.
Patient Blood Management is a multidisciplinary, evidence-based approach to optimising the care of patients who might need blood transfusion. Patient Blood Management puts the patient at the heart of decisions made about blood transfusion to ensure they receive the best treatment and avoidable, inappropriate use of blood and blood components is reduced
Reduced blood usage will reduce demand, therefore less pressure on Northern Ireland Blood Transfusion Service. In turn will mean less shortages and more blood available for emergencies.
If a transfusion is avoided then there is no risk of a transfusion reaction.
Safest blood transfusion is the one not given.
Aims
Can blood transfusions be prevented during elective procedures?
Methods
A surgical list of all elective hip replacements was obtained between 01/09/2013 and 31/12/2013.
Preoperative assessment including baseline haemoglobin was recorded.
Post operative complications including haemoglobin drop and blood transfusions were looked at.
Results
68 patients underwent elective hip replacements during this time.
5 patients underwent post operative blood transfusions
12/68 had pre operative haemoglobins <120g/l
56/68 had pre operative hb >120g/l
0% of patients with a pre operative hb >120g/l required a blood transfusion.
5/12 patients with a pre operative hb<120g/l required at least 1 unit of packed red cells post operatively.
Summary
All patients with a hb<120g/l at present are not being added to the elective hip replacement list until their anaemia is investigated and managed appropriately. General Practitioners received a letter indicating that the pre operative assessment has detected anaemia, also enclosed is guidelines regarding the investigation of anaemia. Once the patients anaemia has been treated or hb optimised the patient is returned to the waiting list.
The safest blood transfusion is the one not received.
Session topic: Publication Only