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GUIDELINES ON ESTABLISHING MAXIMUM BLOOD ORDERING SCHEDULE FOR KKM HOSPITALS.

Adapted from Transfusion practice guidelines for clinical and laboratory personnel. National Blood Centre, Ministry of Health, Malaysia. (2008).
MAXIMUM SURGICAL BLOOD ORDER SCHEDULE (MSBOS)

GENERAL SURGERY

Abdominal-perineal resection Cholecytectomy Gastrectomy Hemicolectomy, small bowel resection Hiatus hemia repair - Abdominal - transthoracic Inguinal hernia repair Laparotomy - Perforated viscus Mastectomy

4 GSH 2 GSH GSH 2 GSH GSH 2 4

Oesophagectomy Pancreatectomy Portocaval shunt Splenectomy Thyroidectomy, Parathytroidectomy Varicose veins Vagotomy Whipples procedure

4 4 4 2 GSH GSH GSH 4

GYNAECOLOGY Hysterectomy - Abdominal, vaginal - Wertheim Myomectomy Ovarian Cystectomy Termination, D & C Vaginal Repair Vulvectomy GSH 2 2 GSH GSH GSH 2

UROLOGY Cystectomy Nephrectomy Percutneous rephrolthotomy Pyelolithotomy - Simple - Complicated or large calculus Renal transplant Retropubic prostatectomy TUR prostate Ureterolithotomy 4 GSH GSH GSH 2 GSH 2 GSH GSH

ORTHOPAEDIC Femoral osteotomy Fractured humerus Fractures neck of femur Laminectomy, spinal fusion Harrington rods Putti-Platt shoulder repair Total hip replacement Total knee replacement Total shoulder replacement 2 GSH GSH 2 4 GSH 3 2 GSH

MISCELLANEOUS Cardiac catheterization Coronary angiogram Liver, renal biopsy Pacemaker insertion GSH GSH GSH GSH

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