The problems for establishment of maximum surgical blood order schedule.

DOI 3 Citations
  • Kimura Keiko
    Division of Blood Transfusion, Toho University School of Medicine, Omori Hospital
  • Shigeta Katsuyoshi
    Division of Blood Transfusion, Toho University School of Medicine, Omori Hospital
  • Ono Kiyoko
    Division of Blood Transfusion, Toho University School of Medicine, Omori Hospital
  • Tsukimoto Ichiro
    Division of Blood Transfusion, Toho University School of Medicine, Omori Hospital
  • Takayama Yoshitaka
    Division of Medical Electronics, Toho University School of Medicine, Omori Hospital

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Other Title
  • 最大手術血液準備量（ＭＳＢＯＳ）作成の問題点

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Problems of MSBOS were evaluated in 2, 676 cases undersoing 200 operative procedures carried out from August 1987 to July 1989.<br>Operative procedures examined were those employed in more than 12 cases. Average unit numbers of MSBOS was increased in the order of: total transfusion volume < cumulative transfusion volume 80% < cumulative transfusion volume 85% < bleeding volume=cumulative transfusion volume 90%. For subtotal gastrectomy, total gastrectomy, total nephrectomy and low anterior resection, transfusion along with anemia correction was considered and 2 kinds of MSBOS were prepared using Hb 11g/dl.<br>MSBOS was decided on the basis of minimum C/T ratio of less than 20% of the additional tansfusion rate and T & S was decided as less than 2 units of MSBOS. In view of periodic changes occurring in MSBOS, a computer control system was developed.

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