Objectives: To establish our current practice of ‘group and save’ blood for nasopharyngeal tumour biopsy (NB), and to determine the rate of blood transfusions among patients who underwent NB under general anaesthesia.
Methods: A retrospective chart review of all patients who underwent biopsy of NB in our tertiary institution between January 2006 and December 2015 was undertaken. Those with Juvenile nasopharyngeal angiofi broma were excluded. Data retrieved included patients’ characteristics such as age/sex, anaemia, primary tumour extension, and histology. Outcome measures included rate of ‘group and save blood’ requests, intra-operative blood loss, blood transfusion rates. Comparison was made between those that were requested to group and save blood prior to surgery (group ‘A’) and the group ‘B’ that were not so requested.
Results: We analysed eligible 103 cases (71 males and 32 females) out of 121 nasopharyngeal biopsies over the study period. ‘Group and save’ blood was undertaken in 47.6% (49/103) of our patients. Only 12.2% of the requested blood was transfused. Among evaluated patient characteristics, only oropharyngeal tumour extension differ between the study groups (P = 0.025). Overall, 14% had signifi cant intra-operative blood loss (>500mls), while 9.7% were transfused. The rates of blood loss and transfusion were not signifi cantly different between the study groups (P = 0.22 and 0.09 respectively). Signifi cant factors that infl uenced transfusion were pre-operative anaemia and oropharyngeal tumour extension.
Conclusion: There was high rate of arbitrary request for ‘group and save blood’ prior to NB in our institution over the last decade, which seems largely unnecessary. We recommend it be undertaken only in the presence anaemia and extensive oropharyngeal tumour extension.
Keywords:
Published on: Jan 27, 2017 Pages: 9-12
Full Text PDF
Full Text HTML
DOI: 10.17352/2455-1759.000034
CrossMark
Publons
Harvard Library HOLLIS
Search IT
Semantic Scholar
Get Citation
Base Search
Scilit
OAI-PMH
ResearchGate
Academic Microsoft
GrowKudos
Universite de Paris
UW Libraries
SJSU King Library
SJSU King Library
NUS Library
McGill
DET KGL BIBLiOTEK
JCU Discovery
Universidad De Lima
WorldCat
VU on WorldCat
PTZ: We're glad you're here. Please click "create a new query" if you are a new visitor to our website and need further information from us.
If you are already a member of our network and need to keep track of any developments regarding a question you have already submitted, click "take me to my Query."