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
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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