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Guidance for the per-operative investigation of neurosurgical patients, including transfusion requirements according to the procedure being performed.
Paediatric neurosurgical patients requiring surgery.
Medical and nursing staff caring for children who require a neurosurgical procedure, the neurosurgical team and the anaesthetic team.
All patients should have a full history taken and examination documented in the notes. This should include basic observations and a neurological exam. In emergency admissions there is often a degree of urgency and performing investigations, particularly cross-matching blood is a priority.
Cross-match 4 units &consider ordering platelets 10ml/kg.
Cross-match 3 units
Cross-match 2 units
Cross-match 1 unit
Group and Save
Cross-matching for other craniofacial/maxillofacial procedures (e.g. mandibular distraction; complex mid-face surgery) should be discussed with the Consultant Surgeon beforehand. If there is any doubt about how much to cross-match, discuss with the Neurosurgical/Anaesthetic Consultant.
Last reviewed: 01 March 2014
Author(s): Colin Goutcher (Neuroanaesthesia) Jennifer Brown (Neurosurgery)