Intraoperative pediatric blood transfusion therapy:: a review of common issues.: Part I:: hematologic and physiologic differences from adults;: metabolic and infectious risks

被引:37
作者
Barcelona, SL
Thompson, AA
Coté, CJ
机构
[1] Childrens Mem Hosp, Dept Pediat Anesthesiol, Chicago, IL 60614 USA
[2] Childrens Mem Hosp, Dept hematol Oncol Stem Cell Transplantat, Chicago, IL 60614 USA
[3] Northwestern Univ, Feinberg Sch Med, Dept Anesthesiol, Chicago, IL 60611 USA
[4] Northwestern Univ, Feinberg Sch Med, Dept Pediat, Chicago, IL 60611 USA
关键词
transfusion therapy; massive blood transfusion; hypocalcemia; hypomagnesemia; hyperkalemia; hypothermia; disease transmission;
D O I
10.1111/j.1460-9592.2005.01548.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Pediatric intraoperative transfusion therapy, particularly the approach to massive blood transfusion (blood loss >= one blood volume) can be quite complex because of the unique relationship between the patient's blood volume and the volume of the individual blood product transfused. This paper is divided into two parts: part 1 presents an overview of the physiologic and hematologic differences between children and adults as well as an overview of the metabolic consequences of blood transfusions, risks of disease transmission, and blood compatibility issues.
引用
收藏
页码:716 / 726
页数:11
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