Reducing red blood cell transfusion in elective surgical patients: the role of audit and practice guidelines.

@article{Mallett2000ReducingRB,
  title={Reducing red blood cell transfusion in elective surgical patients: the role of audit and practice guidelines.},
  author={Susan V. Mallett and T. D. Peachey and O. Sanehi and G. R. Hazlehurst and Adityavarman Umesh Mehta},
  journal={Anaesthesia},
  year={2000},
  volume={55 10},
  pages={
          1013-9
        }
}
In 1996, we prospectively audited peri-operative transfusion practice in elective surgical patients over a 3-month period. Two-unit transfusions represented 60% of all transfusions. Haemoglobin was measured infrequently prior to transfusion and the main 'trigger' for transfusion was an estimated blood loss in excess of 500 ml. Transfusion guidelines that required the haemoglobin level to be measured immediately before transfusion were introduced. The audit was repeated in 1998; transfusion… CONTINUE READING
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