title: Perioperative management of hemostasis in children and adolescents.
abstract: Invasive procedures in children are in most cases elective and are carried out in otherwise healthy children. While many surgeries are still performed in a hospital, more and more procedures are defined as "outpatient procedures," leading to increased discussion about safety and risks. This review will examine common practices, review the sparse literature and provide recommendations regarding the identification of children with increased bleeding risk, planning for children with known bleeding disorders and strategies for perioperative management. In conclusion, after careful planning, surgeries can be performed safely even in children with known bleeding disorders.
authors.affiliation: Dr. von Hauner Children's Hospital, Klinikum der Universität München, Pediatric Hemostasis and Thrombosis, Lindwurmstr. 4, 80337 Munich, Germany. Electronic address: christoph.bidlingmaier@med.uni-muenchen.de.
authors.forename: Christoph
authors.initials: C
authors.lastname: Bidlingmaier
authors.affiliation: Dr. von Hauner Children's Hospital, Klinikum der Universität München, Pediatric Hemostasis and Thrombosis, Lindwurmstr. 4, 80337 Munich, Germany. Electronic address: martin.olivieri@med.uni-muenchen.de.
authors.forename: Martin
authors.initials: M
authors.lastname: Olivieri
authors.affiliation: Dr. von Hauner Children's Hospital, Klinikum der Universität München, Pediatric Hemostasis and Thrombosis, Lindwurmstr. 4, 80337 Munich, Germany. Electronic address: sebastian.huetker@oberschwabenklinik.de.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Hütker
authors.affiliation: Dr. von Hauner Children's Hospital, Klinikum der Universität München, Pediatric Hemostasis and Thrombosis, Lindwurmstr. 4, 80337 Munich, Germany. Electronic address: sabrina.dietl@med.uni-muenchen.de.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Dietl
authors.affiliation: Dr. von Hauner Children's Hospital, Klinikum der Universität München, Pediatric Hemostasis and Thrombosis, Lindwurmstr. 4, 80337 Munich, Germany. Electronic address: karin.kurnik@med.uni-muenchen.de.
authors.forename: Karin
authors.initials: K
authors.lastname: Kurnik
mesh_terms: D000293:Adolescent; D001778:Blood Coagulation Disorders / Q000150:complications / Q000628:therapy; D001791:Blood Platelet Disorders / Q000150:complications / Q000628:therapy; D002648:Child; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006487:Hemostasis; D006801:Humans; D019990:Perioperative Care / Q000379:methods*
keywords: Bleeding; Bleeding disorders; Children; Perioperative; Surgery