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Perioperative neonatal and paediatric blood transfusion

Avnish Bharadwaj1, Mamta Khandelwal2, Suresh Kumar Bhargava3

  • 1Department of Anesthesiology, Mahatma Gandhi Medical College, Jaipur, Rajasthan, India.

Indian Journal of Anaesthesia
|December 24, 2014
PubMed

Insights

Perioperative blood management in pediatric surgery is crucial. Preoperative evaluation, anemia correction, and careful blood loss monitoring ensure optimal patient outcomes.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Transfusion Medicine

Background:

  • Paediatric patients frequently need blood or blood components during surgery.
  • Major pediatric surgeries with significant blood loss risk require thorough preoperative assessment.

Purpose of the Study:

  • To outline a protocol for perioperative blood management in pediatric surgical patients.
  • To emphasize the importance of preoperative evaluation and intraoperative monitoring.

Main Methods:

  • Pre-operative assessment including anemia correction based on patient status.
  • Calculation of Maximum Allowable Blood Loss (MABL).
  • Intraoperative monitoring of blood loss and protocol-based transfusion management.

Main Results:

  • Ensuring adequate blood and component availability.
  • Maintaining appropriate volemia and adhering to transfusion triggers.
  • Achieving early hemostasis through judicious use of blood products and agents.

Conclusions:

  • Comprehensive perioperative blood management is essential for pediatric surgical patients.
  • Preoperative optimization and intraoperative vigilance improve surgical outcomes.

Keywords:
Blood lossblood transfusionmassiveneonatalpaediatricperioperative

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