Maximum Surgical Blood Order Schedule - the Royal Cornwall ...

If there is a particular individual risk of significant blood loss (eg low Hb, clotting risk, previous surgery etc),
consider triage to RCHT and err on the side of ensuring a G+S specimen is available ahead of surgery
NB this pre-op clinic specimen serves as an antibody screen and does not mean that e-matched blood will be available at surgery
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Pre op clinic
On day of surgery
OBSTETRICS AND GYNAECOLOGY
WCH / SMH RCHT If antibodies
detected
APH / PPH G & S n/a
APH (significant) 2 UNITS (variable) n/a
Caesarian section (LSCS) G & S G & S 2 UNITS
ERPC (D+C) G & S n/a
Ectopic pregnancy - if ruptured 2 UNITS n/a
- laparotomy G & S n/a
Hysterectomy - total abdominal G & S G & S 2 UNITS
- vaginal G & S G & S 2 UNITS
- laparoscopic G & S G & S 2 UNITS
- radical for vaginal cancer G & S G & S 2 UNITS
Laparotomy for advanced ovarian cancer G & S G & S 2 UNITS
Myomectomy G & S G & S 2 UNITS
Oophorectomy (cyst) - benign G & S G & S 2 UNITS
Placenta praevia G & S n/a
Placenta removal - manual G & S n/a
Termination (TOP) G & S G & S 2 UNITS
Trial of scar G & S G & S 2 UNITS
Vaginal prolapse repair G & S G & S 2 UNITS
Vulval cancer radical surgery G & S G & S G & S
NB for MAJOR emergency blood loss eg for aortic aneurysm rupture a trauma pack should be requested
and includes 6 units blood + 4 units FFP, followed by 6 units blood, 4 FFP + 1 platelets repeatedly until the lab is stood down
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NB if Ab detected blood must be requested well in advance as it may have to come from Bristol.
Author: Dr Richard Noble Page 3 of 4
MSBOS V3 Date of issue: 12/04/2011