301 Blood Grouping and Save in Day Case Laparoscopic Surgery – Potential for Resource Savings?

Abstract Introduction Currently, patients listed for Laparoscopic cholecystectomy and Appendicectomy undergo routine Blood Grouping Saving (G&S) pre-operatively. transfusion administration in this context is a rare occurrence. Processing of G&S samples takes approximately 45 minutes costs £31 per sample. This excludes the phlebotomy junior doctor resources sample collection, which incurs additional costs. We retrospectively assessed blood requirements those who underwent either laparoscopic appendicectomy or last 18 months at busy District General Hospital (Milton Keynes Hospital) to determine if there were any potential resource savings that could have been made. Method Retrospective case notes analysis had from January 2019 June 2020 focusing on timing G&S, preoperative postoperative haemoglobin, number units transfused. Results Of total 613 patients, 323 cholecystectomy. 256 (78.8%) these 1 96 (29.7%) 2 samples. 290 appendicectomy. 190 (65.5%) 89 (30.6%) two None was The cost £22,196. Conclusions Our study illustrates group no requirement transfusion. Routine save result significant waste finances. Targeted groups should be reserved high-risk only.