title: Use of a massive transfusion protocol with hemostatic resuscitation for severe intraoperative bleeding in a child.
abstract: Use of a defined massive transfusion (MT) protocol for severe intraoperative bleeding in a pediatric patient has never been described. Herein we present a case whereby use of hemostatic resuscitation delineated in an MT protocol optimally treated hemorrhage resulting from a large tumor during right hepatectomy. The MT protocol principles, benefits, and postoperative course of the patient are described.
authors.affiliation: Department of Critical Care, Connecticut Children's Medical Center, Hartford, CT 06106, USA.
authors.forename: Alex M
authors.initials: AM
authors.lastname: Dressler
authors.forename: Christine M
authors.initials: CM
authors.lastname: Finck
authors.forename: Christopher L
authors.initials: CL
authors.lastname: Carroll
authors.forename: Craig C
authors.initials: CC
authors.lastname: Bonanni
authors.forename: Philip C
authors.initials: PC
authors.lastname: Spinella
mesh_terms: D001778:Blood Coagulation Disorders / Q000517:prevention & control*; D001803:Blood Transfusion / Q000379:methods*; D002648:Child; D002985:Clinical Protocols; D006488:Hemostasis, Surgical / Q000379:methods*; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D012771:Shock, Hemorrhagic / Q000517:prevention & control*; D009396:Wilms Tumor / Q000556:secondary / Q000601:surgery