Article Sidebar
Published:
Apr 20, 2023Article Details
The Journal is owned, published, and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. Open access authors retain the copyrights of their papers, with the work three months after publication simultaneously licensed under a Creative Commons Attribution License (Attribution, Non-Commercial, No Derivatives” 4.0) - (CC BY-NC-ND 4.0) that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Main Article Content
A study of haemoglobin concentration on outcome of blood transfusion in maxillofacial surgery patients in Zaria, Northwest Nigeria
Abstract
Background: Blood transfusion is widely practiced in maxillofacial surgery to correct anaemia, to restore blood volume after a loss and to prevent systemic complications of hypovolaemia. The haemoglobin concentration is one of the factors that determine when blood should be transfused.
Objectives: This study assessed the impact of haemoglobin level in determining the appropriateness of blood transfusion in maxillofacial surgical patients.
Methodology: We evaluated haemoglobin concentration of 100 maxillofacial surgical patients from January, 2005 to April, 2006. Males were 63 and females 37. Haemoglobin concentration of one hundred patients scheduled for elective maxillofacial surgery was determined during the preoperative, intraoperative and postoperative phases.
Results: Out of 100 patients, 75% of the patients had haemoglobin concentration of 10 g/dl and above while the remaining 25% had below 10 g/dl at presentation. The pre-transfusion haemoglobin concentration ranged from 5g/dl to 12 g/dl. The haemoglobin level 24-hr postoperative ranged between 7g/dl and 13.3 g/dl.
Conclusion: This study had shown that raising the haemoglobin level of the patient with nutritional and iron supplements before surgery, lowering the transfusion trigger and target haemoglobin threshold for blood transfusion has a significant effect on the reduction in the use of allogeneic blood in surgery without compromising patient outcome.
