Recommended (or Maximum) Surgical Blood Order Schedules (RSBOS or MSBOS) for cardiac surgery

A transfusion medicine physician in Southern California who consults at several community hospital transfusion services wonders if any e-Network colleagues would comment on the use of a Recommended (or Maximum) Surgical Blood Order Schedule (RSBOS or MSBOS) for cardiac surgery. Data related to first-time cases compared to re-do surgeries would be most welcome.

The following responses have been received.

ADDENDA July 2, 2003

1. Editor's note: e-network colleagues might find the following two articles of interest, in response to the inquiring colleague's question:
   • Analysis of the determinant factors for open heart surgery without blood transfusion by the quantification theory - possibility of application of maximum surgical blood order schedule for open heart surgery (Article in Japanese), Sakurada T, Kuribayashi R, Aida H, Seki K, Goto Y, Shibata Y, Meguro A, Hayashi R, Yamagishi I, Abe T. Nippon Kyobu Geka Gakkai Zasshi. 1992 Sept;40(9):1700-6.
     
     
   • The determinant factors for open heart surgery with non-blood transfusion - analysis by quantitative theory class II (Article in Japanese) Yamaguchi A, Kitamura N, Adachi T, Miki T, Fukushima Y, Otaki M, Minoji T, Tamura H.Nippon Kyobu Geka Gakkai Zasshi. 1989 July;37(7):1347-52.

ADDENDA July 3, 2003

2. A pathology resident at an academic medical center in Los Angeles reports that a Google search turned up a website listing pertinent MSBOS data from Rush Medical Laboratories at Presbyterian-St. Luke's Medical Center in Chicago (Link updated Oct. 13, 2005).

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Ira A. Shulman, MD
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