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Lab Manual for Moffitt-Long and Mount Zion

Lab Manual for SFGH

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General Surgery Transfusion Maximums

Number =

No. of crossmatched units. The patient must be informed of autologous, directed, and non-directed homologous blood (Paul Gann Blood Safety Act 1990) and informed consent for transfusion obtained whenever the expected number of blood units for elective surgery >0 and the patient has contraindications for autologous donation.

T&S =

Type and Antibody Screen

0 =

No specimen for Blood Bank


MAXIMUM AUTHORIZED UNITS OF BLOOD FOR ELECTIVE SURGERY

GENERAL SURGERY


Abdominal perineal (A P) resection or pull through

2

Anal fissurectomy/fistulectomy

0

Axillary/inguinal node dissection

0

Bile duct reconstruction

2

Biopsy:


Breast

0

Extremity mass

0

Liver

0

Node

0

Breast abscess or mass excision

0

Breast biopsy

0

Bronchoscopy

0

Bypass:


Aorto iliac

4

Aorto femoral

4

Axillo femoral

2

Femoral popliteal

0

Cholecystectomy (with Grams or common duct exploration-"CD")

0

Circumcision

0

Colectomy

0

Colonoscopy

0

Colon resection (colectomy):


Total large colon (bowel)

2

Hemi colectomy

0

Sigmoidectomy

0

Anterior resection

2

Small bowel segment

0

Colostomy

0

Common bile duct exploration

T&S

Common bile duct reconstruction

T&S

Composite resection

2

Debridement of stump or wound

0

Endoscopy:

0

Bronchoscopy (with biopsy)

0

Colonoscopy (with biopsy)

0

Laparoscopy (with biopsy)

0

Mediastinoscopy (with biopsy)

T&S

Esophagoscopy (with dilation or biopsy)

0

Esophageal resection (esophagectomy)

4

Esophagoscopy (with dilation or biopsy)

0

Excision of:


Breast abscess or mass

0

Melanoma (with node dissection)

0

Fistula in ano, anal fissurectomy/fistulectomy

0

Neck mass

0

Superficial lipoma

0

Exploration of extremity lesion (arm, leg) with biopsy

0

Exploratory laparotomy

0

Extremity (arm, leg) mass biopsy

0

Fistula/fissure in ano excision

0

Gallbladder excision/removal (cholecystectomy)

0

Gastrectomy (with vagotomy) (total or subtotal)

2

Gastric resection, stomach resection/removal

T&S

Gastric stapling

T&S

Gastrostomy

0

Gastroenterostomy

0

Gastroduodenostomy

0

Gastrojejunostomy

0

Gastroileostomy

0

Groin dissection

0

Hemorrhoidectomy

0

Hepatectomy

4

Hernia repair

0

Hernias:


Inguinal

0

Incisional

0

Umbilical

0

Ventral (scar)

0

Hiatal

T&S

Inguinal dissection

0

I & D of superficial abscess

0

Iliostomy

0

Jejuno ilio bypass

0

Jejunostomy

0

Laparoscopy (with biopsy)

0

Laparotomy (with biopsy)

0

Laparotomy, staging

0

Levine shunt

0

Lipoma excision

0

Liver biopsy

0

Mastectomy:


Modified radical

0

Simple

0

Radical

0

Mediastinoscopy

T&S

Melanoma excision (with node dissection)

0

Neck mass excision/biopsy

0

Nissen (fundoplication)

T&S

Node excision/biopsy

0

Pacemaker implant, removal, battery change

0

Epicardial pacemaker

T&S

Pancreatectomy:

4

Partial

4

Radical (Whipple)

4

Parathyroidectomy

0

Pilonidal cyst/sinus excision

0

Porto caval shunt

4

Retrograde esophageal dilation

0

Splenectomy

0

Stump debridement

0

Sural nerve biopsy

0

Sympathectomy

T&S

TEA:


Carotid

T&S

Renal

2

Aorto iliac

4

Thoraco abdominal adrenalectomy

3

Thyroidectomy

0

Partial

0

Total

0

Vein stripping

0

Wound debridement

0



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