| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;66:870-875
© 1998 The Society of Thoracic Surgeons
a Department of Anesthesiology, Children’s Hospital and Regional Medical Center, University of Washington School of Medicine, Seattle, Washington, USA
Accepted for publication May 1, 1998.
Address reprint requests to Dr Williams, Department of Anesthesia and Critical Care, Children’s Hospital and Regional Medical Center, PO Box 5371/CH-05, Seattle, WA 98105-0371
e-mail: (jwilli{at}chmc.org)
Background. Although recent studies indicated young children are at risk for increased perioperative hemorrhage after open heart operations, the associations between patient age, blood loss and blood product transfusions have not been fully defined in children.
Methods. Perioperative blood loss and blood product transfusion data were recorded for 414 consecutive children undergoing open heart procedures. The children were in the following age groups: 1 month or younger, group 1; older than 1 month to 12 months, group 2; older than 1 year to 5 years, group 3; and older than 5 years, group 4.
Results. Postoperative blood loss and blood product transfusions were inversely related to age and differed significantly between the four age groups. Multiple preoperative and intraoperative factors that possibly influence hemostasis also differed significantly between age groups. Median units transfused within 72 hours differed significantly with age (p < 0.0001): group 1, 8 units (range, 1 to 19 units); group 2, 6 units (range, 0 to 21 units); group 3, 2 units (range, 0 to 23 units); and group 4, 0 units (range, 0 to 38 units).
Conclusions. Blood loss and transfusions vary inversely with age. Per kilogram of body weight, neonates bled more and received more donor products than any other age group.
This article has been cited by other articles:
|
|
 |
|
  A. Szekely, Z. Cserep, E. Sapi, T. Breuer, C. A. Nagy, P. Vargha, I. Hartyanszky, A. Szatmari, and A. Treszl Risks and Predictors of Blood Transfusion in Pediatric Patients Undergoing Open Heart Operations Ann. Thorac. Surg., January 1, 2009; 87(1): 187 - 197. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. E. Gruenwald, B. W. McCrindle, L. Crawford-Lean, H. Holtby, C. Parshuram, P. Massicotte, and G. Van Arsdell Reconstituted fresh whole blood improves clinical outcomes compared with stored component blood therapy for neonates undergoing cardiopulmonary bypass for cardiac surgery: a randomized controlled trial. J. Thorac. Cardiovasc. Surg., December 1, 2008; 136(6): 1442 - 1449. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. D. Golab, T. V. Scohy, P. L. de Jong, J. J.M. Takkenberg, and A. J.J.C. Bogers Intraoperative cell salvage in infants undergoing elective cardiac surgery: a prospective trial. Eur. J. Cardiothorac. Surg., August 1, 2008; 34(2): 354 - 359. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. D. Golab, J. J.M. Takkenberg, G. L. van Gerner-Weelink, M. J. Wijers, T. V. Scohy, P. L. de Jong, and A. J.J.C. Bogers Effects of cardiopulmonary bypass circuit reduction and residual volume salvage on allogeneic transfusion requirements in infants undergoing cardiac surgery Interactive CardioVascular and Thoracic Surgery, June 1, 2007; 6(3): 335 - 339. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Guay Invited commentary Ann. Thorac. Surg., May 1, 2007; 83(5): 1803 - 1804. [Full Text] [PDF]
|
|
|
|
 |
|
 S. S. Mou, B. P. Giroir, E. A. Molitor-Kirsch, S. R. Leonard, H. Nikaidoh, F. Nizzi, D. A. Town, L. C. Roy, W. Scott, and D. Stromberg Fresh Whole Blood versus Reconstituted Blood for Pump Priming in Heart Surgery in Infants N. Engl. J. Med., October 14, 2004; 351(16): 1635 - 1644. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. McCall, M. M. Blackwell, J. T. Smyre, J. J. Sistino, J. R. Acsell, B. H. Dorman, and S. M. Bradley Fresh frozen plasma in the pediatric pump prime: a prospective, randomized trial Ann. Thorac. Surg., March 1, 2004; 77(3): 983 - 987. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. C. Oliver Jr, F. M. Beynen, G. A. Nuttall, D. R. Schroeder, M. H. Ereth, J. A. Dearani, and F. J. Puga Blood loss in infants and children for open heart operations: albumin 5% versus fresh-frozen plasma in the prime Ann. Thorac. Surg., May 1, 2003; 75(5): 1506 - 1512. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. D. Williams, S. L. Bratton, and C. Ramamoorthy Factors Associated with Blood Loss and Blood Product Transfusions: A Multivariate Analysis in Children After Open-Heart Surgery Anesth. Analg., July 1, 1999; 89(1): 57 - 57. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
