Premium
Routine Cross‐Matching is not Necessary for a Transurethral Resection of the Prostate
Author(s) -
Fraser I.,
Stott M.,
Campbell I.,
Wood J. K.,
Gordon Smart J.,
Osborn D. E.
Publication year - 1984
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1984.tb05360.x
Subject(s) - medicine , transurethral resection of the prostate , blood transfusion , urology , prostate , resection , prostatectomy , surgery , cancer
Summary— Two hundred and fifty‐five consecutive patients undergoing transurethral prostatectomy were studied prospectively to test a policy of not routinely cross‐matching blood. Blood was ordered only for patients with anaemia, a major medical risk factor, a prostate gland estimated to be greater than 60 g, or the presence of red cell alloantibodies. Of the 203 patients who were “grouped and saved” only, 30 (12%) were subsequently cross‐matched and 22 (8.5%) transfused. There were no significant problems as a result of the operation of this policy. The value of these pre‐operative criteria for cross‐matching was confirmed, apart from the clinical estimation of prostatic size. The use of such a policy cauld be of significant value to the hospital blood transfusion services.