Blood Conservation in the Perioperative Setting

摘要: Children undergoing high blood loss surgical procedures face the same risks associated with transfusion as adults but must live sequelae of transfusion-related complications throughout a much longer life span. Avoidance allogeneic can be accomplished team approach that relies on thorough understanding patient- and procedure-associated risk factors for bleeding, allowing patients who might benefit from perioperative conservation strategy to identified. The individual components multidisciplinary, multimodal plan are discussed in this chapter. These elements include preoperative erythropoietin therapy, autologous collection (preoperative donation, intraoperative hemodilution cell salvage), antifibrinolytics, deliberate hypotension, sparing techniques. adoption lower triggers, institutional algorithms, reduced sampling result fewer transfusions all pediatric patients.