Premium
Bleeding management for pediatric craniotomies and craniofacial surgery
Author(s) -
Goobie Susan M.,
Haas Thorsten
Publication year - 2014
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/pan.12416
Subject(s) - medicine , craniofacial , coagulopathy , craniofacial surgery , blood loss , craniotomy , hyperfibrinolysis , surgery , blood transfusion , blood product , anesthesia , intensive care medicine , psychiatry
Summary Pediatric patients when undergoing craniotomies and craniofacial surgery may potentially have significant blood loss. The amount and extent will be dictated by the nature of the surgical procedure, the proximity to major blood vessels, and the age, and weight of the patient. The goals should be to maintain hemodynamic stability and oxygen carrying capacity and to prevent and treat hyperfibrinolysis and dilutional coagulopathy. Over transfusion and transfusion‐related side effects should be minimized. This article will highlight the pertinent considerations for managing massive blood loss in pediatric patients undergoing craniotomies and craniofacial surgery. North American and European guidelines for intraoperative administration of fluid and blood products will be discussed.