Description

Dulguerov et al identified patients who are more likely to require blood transfusion in conjunction with head and neck surgery. A high risk patient may be a candidate for autologous blood product collection. The authors are from University Hospital of Geneva.


 

Parameters:

(1) type of surgery

(2) clinical factors (if operation associated with moderate risk of transfusion)

 

Operations associated with high risk (>= 80% chance) of blood transfusion:

(1) bilateral radical neck dissection

(2) maxillectomy with or without craniofacial resection

(3) composite resections

(4) partial mandibulectomy

 

Operations associated with moderate (15 to 40% chance) risk of blood transfusion:

(1) total laryngectomy with neck dissection

(2) glossectomy

(3) unilateral radical neck dissection

(4) laternal rhinotomy

 

The chances of being transfused during a moderate risk procedure is greater if:

(1) the patient is older (> 60 years of age)

(2) the patient has a low normal hemoglobin or is anemic prior to surgery

(3) the patient has cardiovascular and/or pulmonary health problems

 

Operations associated with low risk (< 5% chance) of blood transfusion:

(1) partial laryngectomy

(2) parotidectomy

(3) unilateral or bilarteral functional neck dissection

(4) total laryngectomy without neck dissection


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