Blood conservation protocol based on modified ultrafiltration towards bloodless pediatric surgery

Saleh Mohammad

doi:10.17352/ach.000023

Pediatric Surgery Patients Require Special Care

Skin & Allergy News ◽

10.1016/s0037-6337(07)70150-x ◽

2007 ◽

Vol 38 (3) ◽

pp. 46

Author(s):

DENISE NAPOLI

Keyword(s):

Pediatric Surgery ◽

Special Care

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Safe Pediatric Surgery Checklist

PsycTESTS Dataset ◽

10.1037/t70842-000 ◽

2013 ◽

Author(s):

Maria Paula de Oliveira Pires ◽

Mavilde da Luz Gonçalves Pedreira ◽

Maria Angélica Sorgini Peterlini

Keyword(s):

Pediatric Surgery

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Management of Intraoperative Fluid Balance and Blood Conservation Techniques in Adult Cardiac Surgery

The Heart Surgery Forum ◽

10.1532/hsf98.2010111 ◽

2011 ◽

Vol 14 (1) ◽

pp. 28 ◽

Cited By ~ 10

Author(s):

George Vretzakis ◽

Athina Kleitsaki ◽

Diamanto Aretha ◽

Menelaos Karanikolas

Keyword(s):

Cardiac Surgery ◽

Blood Cell ◽

Fluid Balance ◽

Blood Product ◽

Blood Donation ◽

Autologous Blood ◽

Small Body ◽

Risk Indicators ◽

Blood Transfusions ◽

Blood Conservation

Blood transfusions are associated with adverse physiologic effects and increased cost, and therefore reduction of blood product use during surgery is a desirable goal for all patients. Cardiac surgery is a major consumer of donor blood products, especially when cardiopulmonary bypass (CPB) is used, because hematocrit drops precipitously during CPB due to blood loss and blood cell dilution. Advanced age, low preoperative red blood cell volume (preoperative anemia or small body size), preoperative antiplatelet or antithrombotic drugs, complex or re-operative procedures or emergency operations, and patient comorbidities were identified as important transfusion risk indicators in a report recently published by the Society of Cardiovascular Anesthesiologists. This report also identified several pre- and intraoperative interventions that may help reduce blood transfusions, including off-pump procedures, preoperative autologous blood donation, normovolemic hemodilution, and routine cell saver use.A multimodal approach to blood conservation, with highrisk patients receiving all available interventions, may help preserve vital organ perfusion and reduce blood product utilization. In addition, because positive intravenous fluid balance is a significant factor affecting hemodilution during cardiac surgery, especially when CPB is used, strategies aimed at limiting intraoperative fluid balance positiveness may also lead to reduced blood product utilization.This review discusses currently available techniques that can be used intraoperatively in an attempt to avoid or minimize fluid balance positiveness, to preserve the patient's own red blood cells, and to decrease blood product utilization during cardiac surgery.

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A Clinical Study and Management of Inguino-scrotal Swellings In Children

Journal of Medical Research and Innovation ◽

10.15419/jmri.125 ◽

2018 ◽

Vol 2 (S1) ◽

pp. e000125

Author(s):

Khyati Vaja ◽

Mukesh Suvera

Keyword(s):

Inguinal Hernia ◽

Pediatric Surgery ◽

Pediatric Patients ◽

Undescended Testis ◽

Length Of Hospital Stay ◽

Indirect Inguinal Hernia ◽

Short Term ◽

One Year ◽

Groin Hernias ◽

Inguinal Hernia In Children

Aims and Objectives: To know the most common surgical problems in pediatric patients presented with inguino-scrotal swellings and management done routinely. Methodology: This study was carried out in the department of general surgery, Sharadaben hospital and pediatric surgery of VS hospital, Ahmedabad. The cases were studied for a period of about one year (January, 2017 to Dec, 2017) and all children below 12 years of age, presenting to us with inguinoscrotal swellings were included in this study. The information was analysed in terms of age, diagnosis, procedure carried out and outcome. Results: Amongst the 150 children under the age of 12 years, 143 patients were males and 7 were females. Among these 150, 52 cases were of hydrocoele, 70 cases of hernia (of which 63 were males and 7 were females), 25 cases of undescended testis and 3 cases of epididymo orchitis were documented. All cases underwent simple herniotomy for hernia and hydrocoele, orchidopexy for undescended testis. The length of hospital stay ranged from 2-4 days with mean of 2.46 days. 11 children in the study were documented to have short term complications, all of which were recognised in the hospital and managed with good results. Conclusion: Hernia and Hydrocoele in children are often congenital and diagnosed clinically (history and examination). Indirect inguinal hernia are more common than other groin hernias. Open herniotomy is the operation of choice for inguinal hernia in children.

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