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Craniofacial and neurosurgical surgery, crossmatching for

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Standardisation of the crossmatching for craniofacial and neurosurgical surgery.


Children requiring craniofacial and neurosurgical surgery. 


Healthcare professionals involved in the pre-operative management of these children.

Procedure Red Cell Units to be Crossed
Monobloc advancement 4 units
(+20ml/kg FFP & 10ml/kg Platelets)
Synostosis repair, including; Scaphocephaly, Tigonocephaly, Brachycephaly, Plagiocephaly, Fronto-orbital advancement 2 units
Dermoid cyst 1 unit
Vault expansion 1 unit
Craniotomy for


1 unit

Tumour resection/debulking 2 units
Hameatoma 2 units
Cyst fenestration

1 unit


Other procedures assessed on a case to case basis

Emergency use Group O negative blood is always available in Theatre fridge if blood is needed urgently

Editorial Information

Last reviewed: 01 March 2015

Next review: 01 March 2017

Author(s): D Roger, A Kreslins, P Bolton, E Harrison

Approved By: Clinical Effectiveness