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Blood-Sparing Techniques and the Perioperative Management of Blood Losses

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Textbook of Pediatric Neurosurgery

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Abstract

The accurate and appropriate management of blood losses is of paramount importance in the pediatric neurosurgical practice, in particular in the correction of craniosynostosis. Though significant blood losses may be anticipated in case of complex craniosynostoses, also the surgical repair of the simple forms may be weighted by excessive intraoperative bleeding. This may result in severe hemocoagulative complications due to the very young age of the majority of the subjects at the time of the surgical corrective procedure.

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References

  • American Society of Anesthesiologists (1996) More on the changing indications for transfusion of blood components during anesthesia. Anesthesiology 84:498

    Article  Google Scholar 

  • American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies (2006) Practice guidelines for perioperative blood transfusion and adjuvant therapies: an updated report by the American Society of Anesthesiologists Task Force on perioperative blood trans- fusion and adjuvant therapies. Anesthesiology 105:198–208

    Article  Google Scholar 

  • Bolliger D, Tanaka KA (2013) Roles of thromboelastography and thromboelastometry for patient blood management in cardiac surgery. Transfus Med Rev 27:213–220

    Article  Google Scholar 

  • D’Ambra MN, Kaplan DK (1995) Alternatives to allogenic blood use in surgery: acute normovolemic hemodilution and preoperative autologous donation. Am J Surg 170(Suppl 6A):49S

    Article  Google Scholar 

  • Dabbous MK, Sakr FR, Malaeb DN (2014) Anticoagulant therapy in pediatrics. J Basic Clin Pharma 5:27–33

    Article  Google Scholar 

  • Dahmani S, Orliaguet GA, Meyer PG et al (2000) Perioperative blood salvage during surgical correction of craniosynostosis in infants. Br J Anaesth 85:550–555

    Article  CAS  Google Scholar 

  • Dirkmann D, Hanke AA, Gorlinger K et al (2008) Hypothermia and acidosis synergistically impair coagulation in human whole blood. Anesth Analg 106:1627–1632

    Article  Google Scholar 

  • Fearon JA (2004) Reducing allogenic blood trans- fusions during pediatric cranial vault surgical procedures: a prospective analysis of blood recycling. Plast Reconstr Surg 113:1126–1130

    Article  Google Scholar 

  • Goldman M, Savard R, Long A et al (2002) Declining value of preoperative autologous. Transfusion 42:819–823

    Article  Google Scholar 

  • Goobie SM, Meier PM, Pereira LM et al (2011) Efficacy of tranexamic acid in pediatric craniosynostosis surgery: a double-blind, placebo-controlled trial. Anesthesiology 114:862–871

    Article  CAS  Google Scholar 

  • Goodnough LT, Shander A (2013) Current status of pharmacologic therapies in patient blood management. Anesth Analg 116:15–34

    Article  CAS  Google Scholar 

  • Hume HA, Limoges P (2002) Perioperative blood transfusion therapy in pediatric patients. Am J Ther 9:396–405

    Article  Google Scholar 

  • Jacobs K, Shoemaker C, Rudersdorf R (1985) Isolation and characterization of genomic and cDNA clones to human erythropoietin. Nature 313:806–810

    Article  CAS  Google Scholar 

  • Kozek-Langenecker SA (2010) Perioperative coagulation monitoring. Best Pract Res Clin Anaesthesiol 24:27–40

    Article  Google Scholar 

  • Lauder GR (2007) Preoperative predeposit autologous donation in children presenting for elective surgery: a review. Transfus Med 17:75–82

    Article  CAS  Google Scholar 

  • Longatti PL, Paccagnella F, Agostini S et al (1991) Autologous hemodonation in the corrective surgery of craniosynostosis. ChNS 7(1):40–42

    CAS  PubMed  Google Scholar 

  • Meneghini L, Zadra N, Aneloni V et al (2003) Erythropoietin therapy and acute preoperative normovolaemic haemodilution in infants undergoing craniosynostosis surgery. Paediatr Anaesth 13:392–396

    Article  Google Scholar 

  • Messmer K (1975) Hemodilution. Surg Clin N Am 55(3):659–678

    Article  CAS  Google Scholar 

  • Messmer K, Kreimeier U, Intaglietta M (1986) Present state of intentional hemodilution. Eur Surg Res 18(3–4):254–263

    Article  CAS  Google Scholar 

  • Mielke LL, Elmar K, Entholzner MD et al (1997) Preoperative acute hypervolemic hemodilution with hydroxyethylstarch: an alternative to acute normovolemic hemodilution? Anesth Analg 84:26–32

    Article  CAS  Google Scholar 

  • Miller BE, Bailey JM, Mancuso TJ et al (1997) Functional maturity of the coagulation system in children: an evaluation using thrombelastography. Anesth Analg 84:745–748

    Article  CAS  Google Scholar 

  • Morley SL (2009) Red blood cell transfusions in acute paediatrics. Arch Dis Child Educ Pract Ed 94:65–73

    Article  CAS  Google Scholar 

  • Naran S, Cladis F, Fearon J et al (2012) Safety of preoperative erythropoietin in surgical calvarial remodeling: an 8-year retrospective review and analysis. Plast Reconstr Surg 130:305e–310e

    Article  CAS  Google Scholar 

  • Perel P, Roberts I (2011) Colloids versus crystalloids for fluid resuscitation in critically ill patients. Cochrane Database Syst Rev 39(2):386–391

    Google Scholar 

  • Pietrini D (2013) Intraoperative management of blood loss during craniosynostosis surgery. Pediatr Anesth 23:278–280

    Article  Google Scholar 

  • Pietrini D, Ciano F, Forte E, Tosi F, Zanghi F, Velardi F, Di Rocco C, Chiaretti A, Caresta E, Piastra M (2005) Sevoflurane-remifentanil vs isoflurane-remifentanil for the surgical correction of craniosynostosis in infant. Paediatr Anaesth 15(8):653–662

    Article  Google Scholar 

  • Rees P, Grech V (2000) Perioperative anticoagulation for children with prosthetic mechanical valves. Images Paediatr Cardiol 2(2):41–42

    CAS  PubMed  PubMed Central  Google Scholar 

  • Secher EL, Stensballe J, Afshari A (2013) Transfusion in critically ill children: an ongoing dilemma. Acta Anaesthesiol Scand 57:684–691

    Article  CAS  Google Scholar 

  • Shander A, Ozawa S, Gross I et al (2013) Erythropoiesis-stimulating agents: friends or foes? Transfusion 53:1867–1872

    Article  CAS  Google Scholar 

  • Simpson E, Lin Y, Stanworth S et al (2012) Recombinant factor VIIa for the prevention and treatment of bleeding in patients without haemophilia. Cochrane Database Syst Rev 14(3):CD005011

    Google Scholar 

  • Spivak JL (1994) Recombinant human erythropoietin and its role in transfusion medicine. Transfusion 34(1):1–4

    Article  CAS  Google Scholar 

  • Stephenson JR, Axelrad AA, McLeod DL (1971) Induction of colonies of hemoglobin- synthesizing cells by erythropoietin in vitro. Proc Natl Acad Sci U S A 68:1542

    Article  CAS  Google Scholar 

  • The American Medical Association (2012) Proceedings from the National Summit On Overuse. www.ama-assn.org/resourses/doc/cqi/overuse-proceed- ings-paper.pdf. Accessed 15 Jan 2014

  • Trowborst A, van Woerkens EC, van Daele M et al (1990) Acute hypervolaemic hemodilution to avoid blood transfusion during major surgery. Lancet 24(336):1295–1297

    Article  Google Scholar 

  • Van Der Linden P, James M, Mythen M et al (2013) Safety of modern starches used during surgery. Anesth Analg 116:35–48

    Article  Google Scholar 

  • Velardi F, Di Chirico A, Di Rocco C (1999) Blood savage in craniosynostosis surgery. Childs Nerv Syst 15(11–12):695–710. Review

    Article  CAS  Google Scholar 

  • Waters JH (2004) Indications and contraindications of cell salvage. Transfusion 44(12 Suppl): 40S–44S

    Article  Google Scholar 

  • World Health Organization (2010) Sixty-third World Health Assembly WHA63/2010/REC/1, Resolutions and decisions. http://apps.who.int/gb/ebwha/pdf_files/WHA63-REC1/WHA63_REC1-en.pdf. Accessed 15 Jan 2014

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Authors and Affiliations

  1. Pediatric Intensive Care Unit, Institute of Anesthesiology, Catholic University Medical School, Rome, Italy

    F. Tosi & S. Mensi

  2. Institute of Anaesthesiology and Intensive Care, Catholic University of Rome, Rome, Italy

    A. Pusateri & R. Garra

Authors
  1. F. Tosi
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  2. A. Pusateri
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  3. S. Mensi
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  4. R. Garra
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Corresponding author

Correspondence to F. Tosi .

Editor information

Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, CA, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, ON, Canada

    James T. Rutka

Section Editor information

  1. Pediatric Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Service de Neurochirurgie Pédiatrique, Hôpital Femme Mère Enfant-GHE, Lyon, France

    Federico Di Rocco

  3. Centre de Référence Craniosténoses, Université de Lyon, Lyon, France

    Federico Di Rocco

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Tosi, F., Pusateri, A., Mensi, S., Garra, R. (2019). Blood-Sparing Techniques and the Perioperative Management of Blood Losses. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_70-1

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  • DOI: https://doi.org/10.1007/978-3-319-31512-6_70-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31512-6

  • Online ISBN: 978-3-319-31512-6

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

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