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Child's Nervous System

, Volume 36, Issue 1, pp 3–4 | Cite as

Letter to the Editor Re: Escher PJ, Tu A, Kearney S, Wheelwright M, Petronio J, Kebriaei M, Chinnadurai S, Tibesar RJ (2019) Minimizing transfusion in sagittal craniosynostosis surgery: the Children’s Hospital of Minnesota Protocol. Child’s nervous system: 35: 1357-1362

  • Paul SteinbokEmail author
Letter to the Editor

Dear Editor:

Re: Escher PJ, Tu A, Kearney S, Wheelwright M, Petronio J, Kebriaei M, Chinnadurai S, Tibesar RJ (2019) Minimizing transfusion in sagittal craniosynostosis surgery: the Children’s Hospital of Minnesota Protocol. Child’s nervous system: 35: 1357-1362 [1].

I wish to complement the authors for reducing their transfusion rates in open surgery for sagittal craniosynostosis in infants from 100 to 14.3% after implementation of a protocol involving pre-operative erythropoietin (EPO) and iron with perioperative tranexamic acid (TXA). The surgery involved a vertex craniectomy and wedge osteotomy and barrel staving of the parietal bones. Prior to implementation of their protocol, all patients had blood transfusions started at the beginning of the surgery in anticipation of the blood loss. This accounts for the 100% transfusion rate. It is important to note that with the new protocol, in addition to the EPO, iron, and TXA, there was a radical change in attitude to blood transfusion...

Notes

Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.

References

  1. 1.
    Escher PJ, Tu A, Kearney S, Wheelwright M, Petronio J, Kebriaei M, Chinnadurai S, Tibesar RJ (2019) Minimizing transfusion in sagittal craniosynostosis surgery: the Children's Hospital of Minnesota Protocol. Childs Nerv Syst 35:1357–1362CrossRefGoogle Scholar
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    Hentschel S, Steinbok P, Cochrane DD, Kestle J (2002) Reduction of transfusion rates in the surgical correction of sagittal synostosis. J Neurosurg 97:503–509CrossRefGoogle Scholar
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    Bonfield CM, Sharma J, Cochrane DD, Singhal A, Steinbok P (2016) Minimizing blood transfusions in the surgical correction of craniosynostosis: a 10-year single-center experience. Childs Nerv Syst 32:143–151CrossRefGoogle Scholar
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    Steinbok P, Heran N, Hicdonmez T, Cochrane DD, Price A (2004) Minimizing blood transfusions in the surgical correction of coronal and metopic craniosynostosis. Childs Nerv Syst 20:445–452PubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of NeurosurgeryBC Children’s Hospital and University of British ColumbiaVancouverCanada

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