What is it about?
The purpose of this review is to present current practice to limit blood transfusions in pediatric cardiac surgery exclusively inside the operating room and related to CPB as well as minimizing the side effects of the coagulation disturbances caused by the level of hemodilution these patients may encounter.
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Why is it important?
Blood conservation has become an essential institutional initiative in cardiac surgery patients secondary to published reports associating transfusion with increased morbidity and mortality. A multidisciplinary approach is essential to improving operative protocols and procedures aimed at minimizing transfusion requirements in pediatric congenital heart surgery patients.
Perspectives
Many institutions performing CPB have adopted blood conservation programs that include the use of low-prime volume circuits with and without VAVD, ultrafiltration (PBUF, CUF, and MUF) and cell savage for all pediatric patients. With these techniques, many centers report not only decreased blood transfusions and costs but also improved clinical outcomes compared to their previous strategies.
Luiz Fernando Caneo
Instituto do Coracao - Faculdade de Medicina da Universidade de Sao Paulo
Read the Original
This page is a summary of: Minimizing the need for transfusion in pediatric congenital heart surgery, International Journal of Clinical Transfusion Medicine, May 2019, Dove Medical Press,
DOI: 10.2147/ijctm.s168256.
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