A multi-disciplinary approach to improving blood transfusion practice in paediatric scoliosis correction surgery

INTRODUCTION: Blood transfusion is an important concern for the society, as it is life saving for patients with bleeding disorders, accidents, surgeries, inherited/acquired hematological diseases and malignancies. Generally, donors are classied into the following categories: voluntary, family replacement, remunerated or paid donors, and autologous donor. AIMS & OBJECTIVES:To understand the importance of Blood & its safe Transfusion practice in a Teaching Hospital. METHODOLOGY: An Observational study was conducted over a period of 12 months from January 2019 to December 2019 in a 750 –bedded Tertiary Care Hospital of Jammu(UT). OBSERVATIONS: In addition to providing Blood-Transfusion Services to the patients admitted in SMGS Hospital Jammu & Other Associated Hospitals of GMC Jammu, the Blood-Bank is also catering to the needs of Registered Private Nursing Homes & Hospitals of Jammu(UT).This Blood-Bank has exceptionally maintained a record of consuming the whole stock of Blood without wasting even a single pint of blood. DISCUSSION: The Aim of Blood Transfusion Services is to supply good Quality of Blood & its Components to the Patients & avoid any risk to the Donors as well as Recepients. Hence it is extremely essential to institute strict Quality Control Measures RECOMMENDATIONS: Recommended that Upgradation of Blood-Bank is essential to cater with the needs of Additional bed-strength that SMGS Hospital is going to acquire in the coming future.

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New Perspectives in Blood Transfusion Practice

Vox Sanguinis ◽

10.1159/000467161 ◽

1969 ◽

Vol 16 (4-5) ◽

pp. 247-251

Author(s):

T.J. Greenwalt

Keyword(s):

Blood Transfusion ◽

Transfusion Practice

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BCSH: The specification and use of Information Technology (IT) systems in Blood Transfusion Practice

Transfusion Medicine ◽

10.1111/j.1365-3148.2007.00750.x ◽

2007 ◽

Vol 17 (3) ◽

pp. 150-150 ◽

Cited By ~ 1

Author(s):

M. Nightingale ◽

C. Prowse

Keyword(s):

Information Technology ◽

Blood Transfusion ◽

Transfusion Practice ◽

It Systems

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Retrospective Analysis on Intraoperative Neuromonitoring (IOM) of Potential Nerve Injury in Scoliosis Correction Surgery

Majalah Kedokteran Bandung ◽

10.15395/mkb.v53n1.2123 ◽

2021 ◽

Vol 53 (1) ◽

Author(s):

Omat Rachmat ◽

◽

Dohar AL Tobing ◽

Rr. Nur Fauziyah ◽

Jenifer Kiem Aviani ◽

...

Keyword(s):

Spinal Injury ◽

Rare Complication ◽

Intraoperative Neuromonitoring ◽

Neurological Deficits ◽

Neurological Injury ◽

Central Hospital ◽

Chi Square ◽

Post Surgery ◽

Scoliosis Correction ◽

Correction Surgery

Iatrogenic spinal injury resulting in paraplegia or paraparesis after surgical correction of scoliosis deformity is a rare complication but is very detrimental to the patient. Intraoperative Neuromonitoring (IOM) has become the gold standard to monitor surgical procedures which has potential risks to damage the spinal cord. This study aimed to retrospectively analyze the role of IOM in predicting the severity and extent of neurological injury during and after spinal correction surgery in adult idiopathic scoliosis cases related to surgical variables. This was a retrospective cohort study conducted at Dr. Cipto Mangunkusumo National Central Hospital, Fatmawati Central Hospital, and dr. Drajat Prawiranegara General Hospital during the period of 20 March 2018 to 20 August 2019. The primary outcomes were intraoperative monitoring status and post-operative neurological deficits status. Confounder data on scoliosis correction degree, intraoperative hemorrhage, and type of anesthesia used during surgery were retrieved. Chi-Square statistic was used in the analysis. Out of the ninety three patients eligible for this study, twenty two patients was detected as positive in IOM assessment. Four of the patients were found to be positive for post-operative neuromuscular defect. Thereby it can be concluded that IOM procedure can effectively prevent neurological deficits post-surgery with 81.8% specificity and 95.7% sensitivity among thosepositively detected by IOM. Some of the factors that could potentially influence false positive IOM results such as anesthetic used; dosage and administration procedures; magnitude of the scoliosis correction angle; and amount of bleeding during surgery have to be carefully analyzed.

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Subdural hemorrhage after scoliosis correction surgery - A case report -

Korean Journal of Anesthesiology ◽

10.4097/kjae.2009.56.1.116 ◽

2009 ◽

Vol 56 (1) ◽

pp. 116

Author(s):

Seung-gyu Jeon ◽

Byung Hoon Yoo ◽

Yun-Hee Lim ◽

Sangseok Lee ◽

Ki Hyuk Hong

Keyword(s):

Case Report ◽

Subdural Hemorrhage ◽

Scoliosis Correction ◽

Correction Surgery

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Blood Transfusion Practice before and after Implementation of Type and Screen Protocol in Emergency Department of a University Affiliated Hospital in Iran

Emergency Medicine International ◽

10.1155/2014/316463 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 5

Author(s):

Mostafa Alavi-Moghaddam ◽

Mahmoud Bardeh ◽

Hossein Alimohammadi ◽

Habib Emami ◽

Seyed-Mostafa Hosseini-Zijoud

Keyword(s):

Emergency Department ◽

Blood Transfusion ◽

Transfusion Practice ◽

Time Interval ◽

Blood Transfusions ◽

Common Diseases ◽

Before And After ◽

Transfusion Ratio ◽

Cross Match

Background. Blood transfusion is the cornerstone of therapy for many serious and common diseases. This study was performed to assess blood transfusion practice before and after implementation of type and screen protocol in emergency department of a university affiliated hospital in Iran, 2012-2013.Methods. An audit was studied before and after the implementation of type and screen protocol. The number of blood transfusions, time interval between blood order and transfusion, cross-match to transfusion ratio (C/Tratio), and transfusion index (TI) were checked.C/Tratio was used as a measure of the efficiency of blood ordering practice. We compared our results before and after implementation of type and screen protocol.Results. In present study after implementation of type and screen protocol, the time interval between requesting blood transfusion and transfusion of blood has decreased significantly (P<0.001). The number of blood transfusions required by actual patients increased significantly from 1/2 to 2 (P<0.001). The average cross-match to transfusion (C/T) ratio got near 1.13 from 1.41 and TI got near 0.91 from 0.58 (P<0.001).Conclusion. The implementation of T&S protocol has been proven to be safe, efficient, and beneficial to the transfusion practice of our hospital from the current study.

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