Question
List how much unit of blood is ordered for each and every surgery preoperatively according to mobs transfusion guidelines
Answers
GPT-4o mini
MOB's (Massachusetts General Hospital's) transfusion guidelines generally do not provide a one-size-fits-all recommendation for preoperative blood ordering because the amount of blood required can vary based on the type of surgery, patient's medical condition, and other factors. However, I can provide you with general guidelines often seen in clinical practice. However, please refer to the specific institutional guidelines or consult a medical professional for the most accurate information.
### General Blood Ordering Guidelines Preoperatively:
1. **Cardiac Surgery**:
- Typically, 2-4 units of red blood cells (RBCs) may be ordered based on the patient's hemoglobin levels and anticipated blood loss.
2. **Orthopedic Surgery** (e.g., hip/knee replacement):
- Usually, 1-2 units of RBCs are ordered.
3. **Neurosurgery**:
- Generally, 2-4 units may be ordered, depending on the expected blood loss.
4. **General Surgery** (e.g., major abdominal surgery):
- Typically, 2-3 units of RBCs may be requested.
5. **GYN Surgery** (e.g., hysterectomy):
- Usually, about 2-3 units of RBCs may be preordered.
6. **Trauma Surgery**:
- Preorders can range from 4-6 units (or more), depending on the situation and estimated blood loss.
7. **Transplant Surgery**:
- Approximately 4-8 units may be ordered due to the potential for significant blood loss.
8. **Pediatric Surgery**:
- Blood ordering is often weight-based, and typically 1-2 units may be requested.
### Notes:
- It is important to note that many institutions recommend ordering blood based on the individual's needs, with some using protocols that take into account patient hemoglobin levels, surgical complexity, and anticipated blood loss.
- In some cases, a type and screen may be done, and cross-matches ordered based on specific needs rather than blanket orders.
- Additionally, some hospitals have protocols for intraoperative blood salvage, which may reduce the need for preoperative blood orders.
### Conclusion:
To ensure preparedness while managing inventory effectively, it's essential for healthcare providers to follow tailored guidelines provided by their specific institution. For the most accurate and institution-specific details, make sure to refer to the latest transfusion guidelines or protocols at the relevant medical facility.
### General Blood Ordering Guidelines Preoperatively:
1. **Cardiac Surgery**:
- Typically, 2-4 units of red blood cells (RBCs) may be ordered based on the patient's hemoglobin levels and anticipated blood loss.
2. **Orthopedic Surgery** (e.g., hip/knee replacement):
- Usually, 1-2 units of RBCs are ordered.
3. **Neurosurgery**:
- Generally, 2-4 units may be ordered, depending on the expected blood loss.
4. **General Surgery** (e.g., major abdominal surgery):
- Typically, 2-3 units of RBCs may be requested.
5. **GYN Surgery** (e.g., hysterectomy):
- Usually, about 2-3 units of RBCs may be preordered.
6. **Trauma Surgery**:
- Preorders can range from 4-6 units (or more), depending on the situation and estimated blood loss.
7. **Transplant Surgery**:
- Approximately 4-8 units may be ordered due to the potential for significant blood loss.
8. **Pediatric Surgery**:
- Blood ordering is often weight-based, and typically 1-2 units may be requested.
### Notes:
- It is important to note that many institutions recommend ordering blood based on the individual's needs, with some using protocols that take into account patient hemoglobin levels, surgical complexity, and anticipated blood loss.
- In some cases, a type and screen may be done, and cross-matches ordered based on specific needs rather than blanket orders.
- Additionally, some hospitals have protocols for intraoperative blood salvage, which may reduce the need for preoperative blood orders.
### Conclusion:
To ensure preparedness while managing inventory effectively, it's essential for healthcare providers to follow tailored guidelines provided by their specific institution. For the most accurate and institution-specific details, make sure to refer to the latest transfusion guidelines or protocols at the relevant medical facility.