Indian Journal of Anaesthesia

CLINICAL INVESTIGATION
Year
: 2012  |  Volume : 56  |  Issue : 3  |  Page : 234--237

Appropriateness of perioperative blood transfusion in patients undergoing cancer surgery: A prospective single-centre study


Priya Ranganathan, Sarfaraz Ahmed, Atul P Kulkarni, Jigeeshu V Divatia 
 Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Priya Ranganathan
Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai - 400 012
India

Background: Allogenic blood transfusion is associated with several potential complications, especially in patients with cancer. The objective of this prospective single-centre study was to identify the rates of perioperative blood transfusion and overtransfusion in a tertiary-level cancer hospital. Methods: Between March and May 2008, we studied all adult patients undergoing elective major cancer surgery under anaesthesia and recorded intra- and immediate post-operative (within 24 h) blood transfusions and post-operative investigations. Overtransfusion was defined as post-transfusion haemoglobin (Hb) exceeding 10 g/dL. Results: One hundred and eighty-six of 1175 (16%) patients received perioperative blood transfusion. The main trigger for intraoperative transfusion was blood loss exceeding the patient«SQ»s maximum allowable blood loss (92, 49%). Ninety-five (51%) transfused patients had post-transfusion Hb more than 10 g/dL. The rate of overtransfusion was not higher in patients who received single-unit transfusions. Conclusion: The perioperative transfusion rate in patients undergoing cancer surgery was 16%. More than half of these patients were overtransfused. Following this audit, point-of-care facilities for intraoperative haemoglobin measurement have been introduced.


How to cite this article:
Ranganathan P, Ahmed S, Kulkarni AP, Divatia JV. Appropriateness of perioperative blood transfusion in patients undergoing cancer surgery: A prospective single-centre study.Indian J Anaesth 2012;56:234-237


How to cite this URL:
Ranganathan P, Ahmed S, Kulkarni AP, Divatia JV. Appropriateness of perioperative blood transfusion in patients undergoing cancer surgery: A prospective single-centre study. Indian J Anaesth [serial online] 2012 [cited 2020 Oct 1 ];56:234-237
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=3;spage=234;epage=237;aulast=Ranganathan;type=0