How frequent is homologous blood transfusion during pediatric adenoidectomy and tonsillectomy?

Simple item page
dc.contributor.authorAdekola, O. O
dc.contributor.authorAkanmu, N. O
dc.contributor.authorBamigboye, B. A
dc.contributor.authorAkinola, M. D
dc.contributor.authorAdedolapo, H. L
dc.contributor.authorDada, O. I. O
dc.contributor.authorSomefun, A. O
dc.date.accessioned2022-08-01T10:14:57Z
dc.date.available2022-08-01T10:14:57Z
dc.date.issued2016-10
dc.descriptionScholarly articleen_US
dc.description.abstractBackground: Blood is routinely grouped and cross matched for elective adenoidectomy and, or, tonsillectomy at our institution. This practice has led to unnecessary delay and cancellation of surgery. Materials and Methods: This was a prospective study conducted in children aged one and half to nine years scheduled for adenoidectomy and, or, tonsillectomy from January, 2012 to April 2013. We investigated the need for routine preoperative grouping and cross matching of blood, and the immediate complications following adenotonsillectomy. Data collected included the number of blood cross matched and transfused, pre- and postoperative haemoglobin, estimated blood loss, duration of delay in commencing surgery due to lack of blood and the immediate complications following adenoidectomy and tonsillectomy. Results: A total of 129 patients were studied, adenotonsillectomy was performed in 88.37%, adenoidectomy in 7.75%, and tonsillectomy in 3.88%. The median estimated blood loss was 100 IQR (60-100 ml), 145 pints of blood were requested in all, one pint in 77.93% and two pints in 22.07%. The Cross-match to Transfusion Ratio, Transfusion Index and Blood ordering quotient were zero (0) respectively. The median duration of delay before surgery commenced on account of lack of blood was 84 IQR (27.5-119.5) mls. Primary haemorrhage was observed in 4 (3.1%), accidental extubation in 13 (10.07%), hypoxia 5 (3.88%) and cardiac arrest in one patient (0.78%). Conclusion: The cross-match to transfusion ratio, transfusion index and blood ordering quotient were zero, which suggest that cross-matched blood is unlikely to be required, and there was low blood usage. Therefore, the routine practice of preoperative grouping and cross matching of blood seems unnecessary adenoidectomy and, or, tonsillectomy. It is recommended that group and save should be encouraged because of shortage of blood in our country.en_US
dc.identifier.citationAdekola OO, Akanmu ON, Bamigboye BA, Akinnola MD, Adedolapo HL, Dada OI, et al. How frequent is homologous blood transfusion during pediatric adenoidectomy and tonsillectomy?. J Clin Sci 2016;13:187-92.en_US
dc.identifier.issn1595-9587
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/10981
dc.language.isoenen_US
dc.publisherWoltlers Kluweren_US
dc.subjectAdenotonsillectomyen_US
dc.subjectBlood transfusionen_US
dc.subjecttonsillectomyen_US
dc.subjectComplicationsen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgery::Anaesthetics and intensive careen_US
dc.titleHow frequent is homologous blood transfusion during pediatric adenoidectomy and tonsillectomy?en_US
dc.title.alternativeBlood transfusion after adenotonsillectomyen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
JClinSci_2016_13_4_187_192298.pdf
Size:
1.39 MB
Format:
Adobe Portable Document Format
Description:
Main Article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Anaesthesia- Scholarly Publications