Reassessing the Necessity of Group and Save Testing in Ambulatory Orthopedic Peripheral Limb Trauma Surgery

This study demonstrates that routine preoperative G&S testing is not clinically required for many patients undergoing ambulatory peripheral limb orthopedic trauma surgery. Current testing practices, influenced by procedural site and patient comorbidity (ASA grade), contribute to a significant and unnecessary economic and environmental cost. Implementing a selective, risk-based institutional protocol is necessary to align practice with evidence, improve cost-effectiveness, and enhance the sustainability of orthopedic surgical care.