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Validation of a theoretically derived model for the management of massive blood loss in pediatric patients – a case report
Author(s) -
PATERSON NEIL A.
Publication year - 2009
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2009.02982.x
Subject(s) - medicine , bleed , blood loss , refractory (planetary science) , surgery , girl , arteriovenous malformation , blood pressure , intracranial pressure , factor viia , pediatrics , radiology , psychology , developmental psychology , tissue factor , coagulation , physics , astrobiology
Summary We present the case of a 5‐year‐old girl who was brought to hospital having suffered an intracranial bleed. She was found to have a large cerebral arteriovenous malformation which was unsuitable for coiling. Uncontrollable raised intracranial pressure refractory to all therapies necessitated surgery as a last resort. Massive hemorrhage eventuated during the procedure with the estimated loss of between five and six blood volumes, the majority occurring within the space of an hour and a half. We describe management using a locally developed protocol and correlate this with laboratory findings.