Neurosurgery 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
NEUROSURGERY
A V malformation
4
Cordotomy
T&S
Cranioplasty
T&S
Craniotomy/craniectomy for
(or “anterior/middle/posterior fossa for”):
Aneurysm
4
Intercranial electrode implant (or thalamic/cerebellar implant)
T&S
Repair of dura leak
T&S
Tumor
2
Ganglionectomy
T&S
Spinal ganglionectomy
T&S
Hypophysectomy
T&S
Implantation/removal of dorsal column stimulator (DCS)
T&S
Laminectomy
T&S
Nerve repair
0
Removal of DCS (dorsal column stimulator)
T&S
Sacral rhizotomy
T&S
Spinal ganglionectomy
T&S
Subdural hematoma
4
TIC (hemifacial spasm)
T&S
Transsphenoidal craniotomy for tumor
T&S
V P shunt (for hydrocephalus)
T&S