通过减少儿科脊柱手术中的贫血和出血来改善患者的治疗结果
Mark J McVey1, Mark Camp, Caroline Malcolmson
1From the Department of Anesthesia and Pain Medicine, The Hospital for Sick Children (McVey), the Department of Anesthesiology and Pain Medicine (McVey), and the Department of Physiology (McVey), University of Toronto, the Department of Physics, Toronto Metropolitan University (McVey), the Division of Orthopaedic Surgery, The Hospital for Sick Children (Camp and Lebel), the Department of Surgery, Temerity School of Medicine, University of Toronto (Camp and Lebel), the Division of Hematology/Oncology, Department of Pediatrics, Hospital for Sick Children (Malcolmson), the Division of Hematology/Oncology, Department of Pediatrics, University of Toronto (Malcolmson), the Division of Transfusion Medicine, Department of Pediatric Laboratory Medicine, University of Toronto (Malcolmson), and the Child Health Evaluative Sciences (CHES), The Hospital for Sick Research Institute Children, Toronto, Ontario (Malcolmson).
儿童脊柱手术患者经常患有贫血,可能需要输血. 患者血液管理 (PBM),血液保存技术 (BCT) 和手术后增强恢复 (ERAS) 可以减少贫血和输血.
科学领域:
- 儿科外科手术 儿科外科手术
- 麻醉学 麻醉学
- 血液学 血液学 血液学
背景情况:
- 接受脊柱手术的儿童经常出现缺铁和贫血.
- 儿科脊柱手术带有严重的外科手术期间流血的风险,往往需要全基血输血.
- 贫血和输血与增加的发病率,更长的住院时间,更高的成本和罕见的死亡率有关.
研究的目的:
- 审查患者血液管理 (PBM),血液保存技术 (BCT) 和手术后增强恢复 (ERAS) 策略的应用.
- 突出多学科团队的发展,以实施这些外科手术期间的战略.
- 为了证明PBM,BCT和ERAS如何减轻贫血和减少儿科脊柱手术中的输血需求.
主要方法:
- 关于患者血液管理,血液储存和手术后增强恢复的当前文献的综述.
- 专注于多学科的团队方法来整合这些策略.
- 分析这些综合策略对儿科脊柱手术中贫血和输血率的影响.
主要成果:
- 患者血液管理 (PBM),血液保存技术 (BCT) 和手术后增强恢复 (ERAS) 在管理贫血和减少输血方面是有效的.
- 多学科的团队协作是成功实施这些战略的关键.
- 这些综合方法可以减轻外科手术期间的血液损失及其相关并发症.
结论:
- 在小儿脊柱外科手术中,在外科期间实施PBM,BCT和ERAS战略至关重要.
- 这些策略,当多学科团队应用时,可以有效地减少贫血和需要输血的需求.
- 优化患者血液管理可以改善结果,并降低儿科脊柱手术的医疗保健成本.
相关概念视频
Bone Marrow Sampling and Transplants
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
Stem Cell Therapy for Tissue Regeneration
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
Overview of Hematopoiesis
Developmental Phases of Hematopoiesis
Initially, HSCs are formed in the embryonic yolk sac, a critical site for early blood cell production. These stem cells subsequently migrate to other...


