2000, Number 2
Rev Mex Anest 2000; 23 (2)
Sánchez AS, González NP, Alvarez VJC
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ABSTRACTBackground and Objectives: anesthesiologists administer two thirds of the total transfusions made in the perioperative period, and it has been shown that 26% of these were not correctly indicated. Despite expensive laboratory tests, transfusional therapy is still associated with risks that include transfusional reactions, non-a non-b hepatitis, HIV infection and a decrease in immune response that has been related with cancer recurrence and postoperative infection. The purpose of this study was to know and compare the actual cost of a red blood cell transfusion and blood products, between an institutional hospital and a private hospital. Material and Methods: All the data were obtained from blood donate point from both hospitals. They were given by social worker personnel in the institutional hospital and by the head of service in the private hospital. Results: the actual total cost of a transfusion service by the administration of a red blood cells unit and its sub products is about $1,750.00 in Mexico's General Hospital, against $5,235.25 in the private hospital, including charge from the donor's arrival to the blood donate point until the transfusion, generating a difference of approximately $3,485.25. Conclusions Blood therapy and its products generate costs and have a great economic impact in the medical-surgical field. The anesthesiologists must have knowledge about the cost-benefit, and applied the different blood saving techniques, to minimize the costs in anesthetic practice.