Abstract
The hemotherapy service in health units with high surgical demand has been pointed
out as a challenge, especially concerning storage management simultaneously with transfusion
demand attendance. The objective of this study is to analyze service efficacy after
the implementation of a new strategy to meet storage and transfusion demands. The
present study analyzed the records of the hemotherapy service related to blood components
management in surgeries where blood reserve was necessary for RhD positive patients
at the National Institute of Traumatology and Orthopedics. A shared compatibility
test and surgery reserve from the first semester of 2018 was compared to an equivalent
period in 2017, prior to its implementation, under an individualized protocol to each
patient scheduled on the surgery map. After the implementation of the shared protocol,
the transfusion demand was higher, due to an increase in the percentage of surgeries
that required transfusion, as well as to the augmented number of blood components
used in the surgeries. Even in the presence of a slight decrease in storage, the hemotherapy
assistance was considered efficient, since the percentage of surgery suspension reduced
from 2 % to 0.2 % after the implementation of the shared protocol. This improvement
resulted in an adjustment in the classification of reasons for surgical procedure
cancellations, so that the reason “blood shortage” was repositioned from the first
to the seventeenth position. This is the first record of a shared compatibility protocol
and surgery reserve and we hope to contribute to the development of the hemotherapy
service and surgical patient healthcare.
Keywords
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Article info
Publication history
Published online: November 05, 2021
Accepted:
November 2,
2021
Received in revised form:
November 1,
2021
Received:
April 12,
2021
Identification
Copyright
© 2021 Elsevier Ltd. All rights reserved.
