Clinics and Departments

Laboratory Services

Transfusion Services

SURGICAL RED BLOOD CELL ORDERING RECOMMENDATIONS
(AABB published guidelines)
See
Listing BLOOD PRODUCTS ON HOLD

T&S = Type and Screen

PROCEDURE

UNITS RBCs

PROCEDURE

UNITS RBCs

Amputation (upper or lower extremity)

1

Gastroschisis repair

T&S-1

Anoplasty

1

Hypospadias repair

T&S

Arthrodesis, hip

1- 2

Ileostomy

T&S

Arteriovenous fistula replacement

T&S

Intestinal resection

1

Bladder tumor excision

1

Knee and distal femur procedures

T&S-1

Burn debridement

T&S

Laminectomy

Cardiac Surgery (includes pump prime)

Limited

T&S-1

Catheterization

1

Fusion with instrumentation

2- 4

Closed procedures

1- 2

Laparotomy

T&S-1

Open procedures

Patients <10 Kg

2- 3

Limb salvage, with or without tumor resection

1

Patients >10 Kg

4

Liver biopsy

T&S

Pacemaker insertion

T&S

Liver resection

6

PDA ligation

50 mL/Kg

Lobectomy, lung resection

1- 2

Reoperations

2- 4

Lung biopsy

T&S

Valve replacement

2- 4

Myelomeningocoele repair

T&S-1

Cleft palate repair

T&S

Neck dissection

1- 2

Clitorectomy

1

Nephrectomy

2

Colectomy

1

Neonatal cases, open cavity

20 mL/Kg

Colostomy

T&S

Neurofibroma excision

1

Craniectomy

T&S-1

Nevus removal/scar revision

T&S

Craniofacial repair, complex

2- 4

Osteotomy, long bones or joints

1- 2

Craniosynostosis

1- 3

Pectus excavatum repair

T&S

Craniotomy for tumor

1- 3

Prosthesis (insertion/removal), long bones

1- 2

Cerebrospinal fluid shunts, replacement / revisions

T&S

Pyeloplasty

T&S

Cystectomy, ovarian

T&S

Pyelostomy

T&S

Extracorporeal membrane oxygenation

2- 4

Skin grafts, extensive

1- 2

Encephalocoele repair

1

Thoracotomy

1- 2

Endorectal pull-through

1

Thyroid biopsy or resection

T&S

Enterostomy closure

T&S-1

Tumor resection, long bones

2- 4

Extrahepatic anastomosis (Kasai procedure)

2

Urteroneocystostomy

T&S

Femoral neck repair

1- 2

Vascular malformation

1

Fundoplication (Nissen procedure)

T&S

   

Platelets (Leukocyte Reduced), Plasma, or Cryoprecipitate

Platelets: May be required for surgery for the following:

  • Patients with a known or pending qualitative platelet defect (CV bypass, von Willebrand’s, medication induced)
  • Anticipated massive blood loss (>50% EBV)
  • Pre-operative platelet count <50,000 (<100,00 for patients <5 Kg).

Plasma: May be required for surgery for the following:

  • CV bypass at risk for coagulopathy or bleeding
  • Anticipated massive blood loss (>50% EBV)
  • Documented coagulopathy with PTT >51 seconds (> 70 seconds in preterm infants <30 days old), and/or an INR >1.4

Cryoprecipitate: May be required for CV bypass surgery, massive volume loss (>50% EBV), or fibrinogen <150 mg/dL



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