Guideline for craniofacial & neurosurgical pre-operative blood product ordering RHC
GGC Paediatric Guidelines
What's new / Latest updates
14/12/2022 Minor changes: additional blood products are being used for total calvarial vault remodelling which reflects change in surgical technique.
Objectives
Standardisation of the blood product ordering for craniofacial and neurosurgical cases.
Scope
Children requiring craniofacial and neurosurgical surgery.
Audience
Healthcare professionals involved in the pre-operative management of these children.
|
Procedure |
Blood products to be ordered |
|
Monobloc advancement |
4 units RCC |
|
Total calvarial vault remodelling (for correction of scaphocephaly) |
2 units RCC |
|
Other synostosis repair including; Tigonocephaly, Brachycephaly, Plagiocephaly, Fronto-orbital advancement |
2 units RCC |
|
Dermoid cyst |
1 unit RCC |
|
Vault expansion |
1 unit RCC |
|
Craniotomy for |
|
|
Encephalocele |
1 unit RCC |
|
Tumour resection/debulking |
2 units RCC |
|
Haematoma |
2 units RCC |
|
Cyst fenestration |
1 unit RCC |
RCC: Red Cell Concentrate
FFP: Fresh Frozen Plasma
Cryo: Cryoprecipitate
This list is not exhaustive. Other procedures assessed on a case to case basis, please discuss with the anaesthetist for the case.
Emergency use Group O negative blood is always available in Theatre fridge if blood is needed urgently