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18.05.2024 | Blood Management (KA Tanaka, Section Editor)

What's New in Pediatric Patient Blood Management for Major Surgery?

verfasst von: Thorsten Haas, Melissa M. Cushing, Nina A. Guzzetta, Jennifer Andrews

Erschienen in: Current Anesthesiology Reports

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Abstract

Purpose of Review

Pediatric patient blood management (PBM) encompasses optimizing red cell mass and the physiologic reserve of anemia, as well as minimizing blood loss. Our goal, built around an illustrative case and the best practices of each tenet of PBM, is to give evidence-based pragmatic suggestions for multidisciplinary pediatric physicians in each phase of care: preoperative, intraoperative, postoperative. Many PBM reviews focus on the intraoperative management of the most severely ill patients, such as cardiac surgery. This review will focus on PBM in the general pediatric surgical population.

Recent Findings

New research was identified on the following topics: global prevalence of anemia, oral and IV iron supplementation, pre-operative transfusion risk scores, transfusion guidelines in pediatric critical care, antifibrinolytics, and viscoelastic testing. Post-operative PBM is an arena ripe for research given the paucity of evidence around the best management of anemia in children after surgery.

Summary

This review discusses the current evidence for PBM in children, as well as many opportunities for research and improvement in this relatively new discipline.

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Titel: What's New in Pediatric Patient Blood Management for Major Surgery?
verfasst von: Thorsten Haas
Melissa M. Cushing
Nina A. Guzzetta
Jennifer Andrews
Publikationsdatum: 18.05.2024
Verlag: Springer US
Erschienen in: Current Anesthesiology Reports
Elektronische ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-024-00634-z

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What's New in Pediatric Patient Blood Management for Major Surgery?

Abstract

Purpose of Review

Recent Findings

Summary

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Blutdrucksenkung schon im Rettungswagen bei akutem Schlaganfall?

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Purpose of Review

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