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Anaesthetic strategies to reduce perioperative blood loss in paediatric surgery

Published online by Cambridge University Press:  02 June 2005

T. P. Weber ,
M. A. Große Hartlage ,
H Van Aken  and
M Booke
T. P. Weber
Affiliation:
University Hospital, Department of Anaesthesiology and Intensive Care, Münster, Germany
M. A. Große Hartlage
Affiliation:
University Hospital, Department of Anaesthesiology and Intensive Care, Münster, Germany
H Van Aken
Affiliation:
University Hospital, Department of Anaesthesiology and Intensive Care, Münster, Germany
M Booke
Affiliation:
University Hospital, Department of Anaesthesiology and Intensive Care, Münster, Germany
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Summary

In adults, a number of measures to reduce perioperative blood loss have been established. These techniques serve to reduce patients' exposure to homologous blood. Most adults are concerned with this issue especially since many patients became infected with human immunodeficiency virus (HIV) during the 1980s through exposure to blood components. While blood-saving strategies are widely used in adults, they are mostly neglected in infants. However, it is these young patients with their whole life in front of them who, it could be argued, would benefit especially from any potentially avoidable infection (HIV, hepatitis, etc.) or immunological complications. In infants and small children, these blood-sparing techniques may not be as effective as in adults and technical limitations may prevent their application. However, some of these measures can be used and may serve to prevent or reduce exposure to homologous blood. In the following review, blood-saving techniques established in adults are described and their applicability for paediatric patients discussed.

Keywords

BLOOD TRANSFUSION, autologous, blood transfusionHAEMORRHAGE, blood loss, surgicalINFANT, NEWBORN
Type
Review
Information
European Journal of Anaesthesiology , Volume 20 , Issue 3 , March 2003 , pp. 175 - 181
Copyright
© 2003 European Society of Anaesthesiology

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