Related Experiment Video
Updated: Mar 26, 2026
09:09
Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock
Published on: November 3, 2023
1.6K
Perioperative bleeding management in pediatric patients.
Susan M Goobie1, Thorsten Haas
1aDepartment of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA bDepartment of Anesthesia, University Children's Hospital Zurich, Zurich, Switzerland.
Current Opinion in Anaesthesiology
|February 5, 2016
Summary
Managing perioperative bleeding in pediatric patients requires a shift from traditional blood product transfusions. Current guidelines emphasize patient blood management strategies to optimize care and minimize transfusion risks in children.
Area of Science:
- Pediatric Anesthesiology
- Hematology
- Critical Care Medicine
Background:
- Perioperative bleeding management in pediatric patients presents significant challenges.
- Traditional reliance on blood product transfusions is linked to increased pediatric morbidity and mortality.
- Adverse events include transfusion-related acute lung injury, circulatory overload, and immunomodulation.
Purpose of the Study:
- To review current guidelines for managing perioperative bleeding in pediatric patients.
- To emphasize a shift towards individualized, goal-directed transfusion strategies.
- To highlight the importance of diagnosing and treating anemia and coagulopathy.
Main Methods:
- Review of current literature and guidelines on pediatric patient blood management.
- Focus on evidence-based strategies for perioperative bleeding control.
- Emphasis on point-of-care testing and targeted coagulation product use.
Main Results:
- Patient blood management (PBM) strategies are critical for optimizing pediatric care.
- Comprehensive PBM minimizes unnecessary blood product transfusions.
- PBM strategies limit transfusion-related side-effects in children.
Conclusions:
- Current guidelines advocate for multimodal patient blood management.
- Individualized, targeted interventions using point-of-care testing are recommended.
- Focus on specific coagulation products and goal-directed strategies is essential for vulnerable pediatric patients.
More Related Videos
Related Concept Videos
01:28Esophageal Varices-II: Clinical Features and Management
747
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
747
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
422
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
422
01:30Venous Thrombosis IV: Nursing Management
371
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
371
01:23Peripheral Artery Disease V: Postoperative Nursing Management
561
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
561
01:22Aneurysm IV: Nursing Management
577
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
577
01:30Epistaxis
713
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
713