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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 1, February 2014 pp 36-39

Research Article

A Prospective Study of Blood Transfusion Practice in Elective Orthopaedic Surgeries


Suresh Chandra Dulara1, Pooja Jangid2, Rinku Jain3, Ashish Jangid4

{1Senior Professor, 2IInd year Resident, 3IIIrd year Resident, Department of Anaesthesiology}

{4Senior Resident, Department of Medicine}

Govt. Medical College, Attached MBS Hospital, Nayapura, Kota, Rajasthan - 324001, INDIA.

Academic Editor : Dr. Aher K.R.



Aims and Objectives: To assess the practice and trends of blood transfusion services at our institute in elective orthopaedic surgeries, and to work out Surgical Blood Order Schedule at our institute by means of Cross Match Transfusion Ratio (C/T ratio), Transfusion Index (TI), Transfusion Probability (%T) and Mead’s criteria and to develop suggestions to improve the efficiency of blood utilisation and reduce the unnecessary cross matching as well as wastage of blood bank resources. Materials and Methods: Patients (male and female) of the age group of 20- 80 years under elective orthopaedic surgery were enrolled in the study. Patients, who received blood transfusion during intraoperative period and within 24 hours postoperatively, during one year duration, were included in the study and frequency of utilization of blood in different elective orthopaedic surgeries was noted. Results and Conclusion: A total of 159 patients with an age group of 20-80 years were evaluated in one year duration. Two hundred forty two units of blood were cross matched and only seventy eight units were transfused to seventy one patients. Sixty eight percent of the units cross-matched were not transfused. Five out of six elective procedures had a C/T ratio higher than 2.5 and all of the procedures under study had a low Transfusion Index (TI<0.5).