Efficiency of Packed Red Cell Utilization and Establishment of Effective Maximum Surgical Blood Order Schedule in Elective Coronary Artery Bypass Graft Surgery in a Specialized Tertiary Care Center

• DOI: 10.4103/pja.pja_8_24
• Publication Date: 2024-12-31T05:00:09Z
• Authors: Joanna Marie Dali...
• Keywords: Center (category theory); Tertiary care

A BSTRACT Background: Implementation of blood conservation protocol may increase the efficiency utilization and optimize maximum surgical ordering schedule (MSBOS) in our institution. The primary objectives this study are to evaluate efficient a fixed request 4 units packed red cells (PRBCs) establish an effective MSBOS on isolated elective coronary artery bypass graft (CABG). Methodology: This was retrospective, analytical, observational, cohort type conducted through chart review CABG patients from January 2018 December 2019. Indices used were crossmatch transfusion (C/T) ratio, probability (T%), index (TI). computed based data gathered. Results: total 77 included study. Blood C/T ratio associated with body surface area <1.75 m 2 ( P = 0.006) involvement distal grafts >3 vessels 0.042). Overall, 2.44, T% 70.1%, TI 1.69. Unutilized measured at 59%. for (2.53). Conclusion: There is PRBC when indices used. Evidence-based established previous can be reduced promote <2 as evidence optimal utilization.