Table 3. Post-operative RBCs transfusion and use of RBCs alternatives.
| Never | Rarely | Often | Always | |||||
|---|---|---|---|---|---|---|---|---|
| n | % | n | % | n | % | n | % | |
| Management of a 55-year-old male who underwent elective surgery and had active intraoperative bleeding that was stopped. Postoperatively Hb level = 6.4 g/dL and was hemodynamically stable | ||||||||
| I order 1 unit if RBCs transfusion: | 2 | 3.6% | 18 | 32.1% | 25 | 44.6% | 11 | 19.6% |
| I order 2 units if RBCs transfusion | 1 | 1.8% | 5 | 8.9% | 16 | 28.6% | 34 | 60.7% |
| I write the infusion rate for the RBC transfusion: | 7 | 12.5% | 10 | 17.9% | 24 | 42.9% | 15 | 26.8% |
| Use of alternative strategies to RBCs transfusion A 55-year-old male, undergoing elective total gastrectomy with a Hb level of 10.5 g\dL | ||||||||
| Cell-saver device for benign case | 38 | 67.9% | 13 | 23.2% | 4 | 7.1% | 1 | 1.8% |
| Cell-saver for malignant case | 42 | 75.0% | 9 | 16.1% | 4 | 7.1% | 1 | 1.8% |
| Tranexamic acid | 31 | 55.4% | 23 | 41.1% | 2 | 3.6% | 0 | 0.0% |
| Pre-operative oral iron for anemic patients | 18 | 32.1% | 21 | 37.5% | 11 | 19.6% | 6 | 10.7% |
| Pre-operative autologous blood transfusions | 33 | 58.9% | 14 | 25.0% | 8 | 14.3% | 1 | 1.8% |