Naveed Zafar.
A Survey of Blood Transfusion Practices.
J Coll Physicians Surg Pak Jan ;10(3):90-2.

A survey was done to evaluate the blood transfusion practices in our hospitals. Two hundred and fifteen questionnaire were distributed among the surgeons and anaesthetists of various hospitals in Lahore. It was found that majority think that blood transfusion is not indicated if the pre-operative Hb is above 10 g/dl and blood should not be transfused even if the anticipated blood loss is between 500-1000 ml. Post-operatively blood should not be transfused, if the haemoglobin is above 9g/dl without any active bleeding. Allergic reactions were thought to be the most common side effect of blood transfusion, followed by infection, while only few had mentioned the immuno-modulatory effects of blood transfusion. Fifty percent thought that the transfusion, if necessary, should be packed cells. In view of emerging HIV problem, it is imperative to evolve well defined criteria for blood transfusion focussing on immuno-modulatory and autologous blood transfusion.

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