UCLA Medical Center
Division of Transfusion Medicine
Los Angeles, CA 90095-1713
Procedure #6103
Effective Date: 12/1/05
Page 1 of 6
BLOOD ORDER GUIDELINES FOR SURGERY (BOGS)
PURPOSE
Describes UCLA's Blood Order Guidelines for Surgery (BOGS) and how it is used.
SCOPE/PRINCIPLE
 BOGS was developed by analyzing blood use in UCLA Operating Rooms over a 6-month period. Blood
order numbers were calculated to meet the needs of 80-90% of patients undergoing the corresponding
procedure and then modified to more realistically represent "standard blood orders". Type & Screens
are recommended for procedures that require less than 0.5 unit per patient per procedure.
 BOGS data is periodically reviewed by representatives from the Department of Surgery and Transfusion
Medicine and updated as needed.
 Surgeons or anesthesiologists may individualize or override BOGS to accommodate special
patient needs.
REFERENCES
Technical Manual, most recent edition, AABB, Bethesda, MD.
APPENDIX
UCLA's BOGS List
AC-C/BOGS
1
Dept of Surgery/Blood Bank Procedures for BOGS.doc
2/5/2016
UCLA Medical Center
Division of Transfusion Medicine
Los Angeles, CA 90095-1713
Procedure #6103
Effective Date: 12/1/05
Page 2 of 6
BOGS LIST
Review Date: May 16, 2006
TYPE & SCREEN (T/S) provides information about the patient’s blood type and the presence of red cell
antibodies.
- If the antibody screen is positive, additional work must be performed to identify the antibodies present
and to rule out other clinically significant antibodies to red cell antigens. This additional work may be
completed within a couple of hours, or may take days and require send-out to a Reference Lab.
- Completion time and blood availability depends on the number of antibodies present, antibody reactivity,
and frequency of the corresponding antigen in our donor population.
- Once clinically significant antibodies are identified, national standards require the Blood Bank to provide
antigen-negative, crossmatch-compatible units for transfusion.
TYPE & CROSS (T/C) is an order for a T/S plus a request for a specified number of RBC units.
- Depending on the results of the T/S, units may be readily available (no clinically significant antibodies
identified) or may require special screening for antigen-negative units (when clinically significant
antibodies are identified).
GENERAL SURGERY, SURGICAL ONCOLOGY
Order
T/S
T/S
T/S
1
T/S
T/S
T/S
T/S
T/S
T/S
T/S
T/S
T/S
T/S
T/S
T/S
2
T/S
T/S
2
2
T/S
T/S
AC-C/BOGS
Procedure
**All abdominal cases not listed below.
Abdominal mass, resection
Adrenalectomy (Adrenal resection)
Antrectomy and vagotomy
Breast:
Mastectomy, modified radical
Mastectomy, radical
Celiotomy
Colon:
Anterior resection
Hemicolectomy
Colectomy and endorectal ileal pull-through
Total Colectomy
Abdominal-perineal resection
Sigmoidectomy
Common bile duct repair
Duodenojejunostomy
Duodenotomy
Entercutaneous fistula
Enterocutaneous fistula take- down
Enteroenterostomy
Esophageal resection/esophagectomy
Esophagogastrectomy
Exploratory laparotomy/celiotomy
Fundoplication (Nissen)
Gastrectomy
2
Dept of Surgery/Blood Bank Procedures for BOGS.doc
2/5/2016
UCLA Medical Center
Division of Transfusion Medicine
Los Angeles, CA 90095-1713
T/S
T/S
2
T/S
T/S
No Orders
T/S
T/S
T/S
Procedure #6103
Effective Date: 12/1/05
Page 3 of 6
Total
Partial
Liver resection
Pancreaticoduodenostomy
Pancreatectomy
Roux-en-Y gastric bypass
Thyroidectomy:
Partial (Lobectomy)
Total
Vagotomy and pyloroplasty
CARDIOVASCULAR SURGERY- ADULT
Order
6
T/S
4
4
4
4
4
4
T/S
No Orders
4
T/S
4
4
4
4
4
4
4
4
4
Procedure
** All re-do procedures
Angioplasty, percutaneous transluminal coronary (PTCA)
Aortic aneurysm repair (ascending/descending thoracic)
Atrial-septal defect repair
Blalock-Taussig shunt
Coarctation of aorta, repair
Coronary artery bypass grafts
Embolectomy
Intra-aortic balloon insertion
Pectus excavatum / carinatum repair
Pericardectomy
Pericardial window
Pulmonary artery (anomalous) repair
Pulmonary artery banding
Truncus arteriosus repair
Valve replacement
Valvulotomy/Commissurotomy
Vascular tumor resection
Ventricular aneurysm, resection
Ventricular outflow tract, repair
Ventricular septal defect repair
CARDIOVASCULAR SURGERY- PEDIATRICS
Order
4
2
2
2
1
1
AC-C/BOGS
Procedure
Pump procedures (Pump cases for children < 10 kg include 1 unit washed cells)
Elective non-pump procedures
Blalock-Taussig shunt
Coarctation of aorta, repair
Patent ductus arteriosus, ligation
Mediastinal procedures
3
Dept of Surgery/Blood Bank Procedures for BOGS.doc
2/5/2016
UCLA Medical Center
Division of Transfusion Medicine
Los Angeles, CA 90095-1713
Procedure #6103
Effective Date: 12/1/05
Page 4 of 6
THORACIC SURGERY
Order
T/S
T/S
2
2
1
T/S
T/S
T/S
T/S
T/S
T/S
T/S
T/S
Procedure
Bronchopleural fistula repair
Biopsy- lung/scalene
Esophajectomy
Esophagogastrectomy
Lung:
Pneumonectomy
Lobectomy/ Wedge resection
Mediastinoscopy
Mediastinum operation
Pleura operation
Thoracotomy:
Exploratory
Resection of metastasis
Thymectomy
Trachea reconstruction
HEAD AND NECK SURGERY
Order
4
4
4
2
5
T/S
T/S
2
T/S
T/S
T/S
2
2
T/S
T/S
2
T/S
2
Procedure
Angiofibroma resection
Carotid body tumor/glomus tumor, resection
Composite resection with radical neck dissection
Free flap reconstruction
Fronto-orbital bone advancement
Glossectomy
Hemiglossectomy
Jaw, neck, tongue dissection
Larynx:
Hemilaryngectomy
Total laryngectomy
Laryngectomy with radical neck dissection
Mandibular reconstruction
Mandibulectomy
Mastoidectomy
Maxillary ostectomy
Maxillectomy
Radical neck dissection
Temporal bone resection
NEUROSURGERY
Order
T/S
T/S
T/S
1
AC-C/BOGS
Procedure
Brain biopsy, stereotactic/stereotaxic
Burr Holes
Cordotomy
Craniectomy
4
Dept of Surgery/Blood Bank Procedures for BOGS.doc
2/5/2016
UCLA Medical Center
Division of Transfusion Medicine
Los Angeles, CA 90095-1713
T/S
2
4
1
2
2
1
T/S
T/S
T/S
1
2
T/S
1
T/S
T/S
T/S
Procedure #6103
Effective Date: 12/1/05
Page 5 of 6
Cranioplasty
Craniotomy:
General
Aneurysm, A-V malformation
Subdural/Epidural hematoma
Decompression (spinal cord)
Harrington rod placement
Hypophysectomy
Laminectomy
Rhizotomy
Scalp and skull lesions (no intracranial communications)
Spinal fusion
Spinal cord tumor, resection
Sympathectomy
Transsphenoidal hypophysectomy
Ventriculo-peritoneal (VP) shunt placement/revision
Carotid endarterectomy
Intracranial bypass
NEUROSURGERY - PEDIATRICS
Order
1
2
T/S
Procedure
Craniotomy
Hemispherectomy
Rhizotomy
OBSTETRICS AND GYNECOLOGY
Order
T/S
T/S
2
2
T/S
T/S
T/S
T/S
4
T/S
T/S
1
T/S
1
T/S
T/S
Procedure
AP repair
Cesarean section
Ectopic pregnancy
Exploratory laparotomy/debulking (malignancy)
Hysterectomy
Hysterotomy
Laparoscopy
Laparotomy
Pelvic exenteration
Pelvic lymphadenectomy
Second look laparotomy
Staging laparotomy
Tubal ligation
Uterine myomectomy
Vaginectomy
Vulvectomy (vulva, excision)
ORAL SURGERY
Order
1
AC-C/BOGS
Procedure
Bilateral sagittal split osteotomy (BSS)
5
Dept of Surgery/Blood Bank Procedures for BOGS.doc
2/5/2016
UCLA Medical Center
Division of Transfusion Medicine
Los Angeles, CA 90095-1713
1
T/S
Procedure #6103
Effective Date: 12/1/05
Page 6 of 6
Bilateral subcondylar osteotomy/intraoral vertical ramus osteotomy (IVRO)
LeForte I osteotomy
ORTHOPEDIC SURGERY
Order
T/S
T/S
T/S
T/S
T/S
T/S
T/S
2
2
2
1
3
2
T/S
1
T/S
T/S
T/S
1
2
1
Procedure
Bone lesion, excision
Bone marrow harvest/aspiration
Bone tumor, resection
Femur resection
Fracture reduction, open with internal fixation (ORIF)
Hand/ finger replants
Hardware removal
Harrington rod placement
Hip:
Disarticulation
Fusion
Replacement porous hip surface
Revision/Exchange total hip replacement
Total hip replacement (THR)
Knee:
Reconstruction
Revision of total knee replacement
Total knee replacement (TKR)
Laminectomy
Microvascular Free Flap reconstruction
Periacetabular (Ganz) osteotomy
Spinal fusion
Trochanteric osteotomy/ surgical dislocation of hip
PEDIATRIC SURGERY
(Request units to be split as needed)
Order
1
T/S
1
1
T/S
T/S
1
1
1
Procedure
Diaphragmatic hernia, repair
Intestinal atresia, repair
Mediastinal procedures
Neuroblastoma resection
Omphalocele/ Gastrochisis repair
Splenectomy
Thoracotomy
Tracheoesophageal Fistula
Wilm’s tumor, resection
PLASTIC SURGERY
Order
T/S
T/S
2
AC-C/BOGS
Procedure
AV malformation- cutaneous large
Bilateral sagittal split osteotomy (BSS)
Cranial Vault Remodeling including:
Frontal Orbital Advancement
6
Dept of Surgery/Blood Bank Procedures for BOGS.doc
2/5/2016
UCLA Medical Center
Division of Transfusion Medicine
Los Angeles, CA 90095-1713
2
2
T/S
2
1 (Dr. Kawamoto)
Procedure #6103
Effective Date: 12/1/05
Page 7 of 6
Facial Bipartition Correction
Cranioplasties
LeForte II & III
Monobloc Procedures
Refracture & reposition zygoma w/ cranial bone graft
UROLOGY
Order
4
2
T/S
T/S
T/S
T/S
2
1
T/S
T/S
2
2
T/S
T/S
T/S
1
4
T/S
T/S
Procedure
Cystectomy:
Radical
Partial
Cystoplasty
Ileal conduit
Ileal reservoir, construction/reconstruction
Nephrectomy:
Donor
Radical
Total (Simple)
Nephrolithotomy
Percutaneous stone fragmentation
Prostatectomy:
Open
Radical
Transurethral resection
Pyelolithotomy
Pyeloplasty
Renal Transplant
Renovascular correction
Retroperitoneal lymph node dissection
Saphenous vein graft
VASCULAR SURGERY
Order
4
6 + FFP+ Platelets
T/S
T/S
2
2 (Drs. Moore/ Reil/ Quinones)
T/S (All other MDs)
T/S
T/S
1
4
T/S
AC-C/BOGS
Procedure
Aortic Surgery
Abdominal Aortic surgery
Thoracic Aortic surgery
Axillofemoral
Carotid endarterectomy
Embolectomy
Endovascular AAA
Femoral-femoral bypass
Femoral-popliteal bypass
Peripheral aneurysm repair
Renal artery repair
Thrombectomy
7
Dept of Surgery/Blood Bank Procedures for BOGS.doc
2/5/2016