Blood support for pediatric surgery.
Increasingly complicated surgeries are being performed on neonatal and pediatric patients. Provision of a safe and adequate blood supply is essential for the success of many of these surgeries. Depending on the clinical situation, autologous and/or allogeneic blood may be used. However, in all cases, every attempt should be made to minimize the number of donor exposures to reduce the risk of transfusion transmitted infections. Transfusion of neonatal and pediatric patients requires additional considerations too, such as the risk of graft vs host disease, cytomegalovirus infection, the effects of various preservative anticoagulant solutions, electrolyte levels during blood storage, and wheather or not leukoreduced components are indicated.
Sacramento Medical Foundation Blood Centers, 1625 Stockton Blvd, Sacramento, California 95816-7089, USA. kim.janatpour@smfb.org
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Janatpour
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Holland
D001782:Blood Donors; D016063:Blood Loss, Surgical; D001803:Blood Transfusion / Q000379:methods*; D002648:Child; D003586:Cytomegalovirus Infections / Q000209:etiology / Q000517:prevention & control; D006086:Graft vs Host Disease / Q000517:prevention & control; D006438:Hemodilution; D006801:Humans; D007231:Infant, Newborn; D007430:Intraoperative Care / Q000379:methods*; D065227:Transfusion Reaction