Infusión de hemoderivados guiada por tromboelastometría intraoperatoria en cirugía cardiaca pediátrica
Romlin BS, Wählander H, Berggren H, Synnergren M, Baghaei F, Nilsson K, Jeppsson A. Intraoperative thromboelastometry is associated with reduced transfusión prevalence in pediatric cardiac surgery. Anesth Analg 2011; 112:30-6.
DOI:
https://doi.org/10.30445/rear.v3i9.465Keywords:
cirugía cardiaca, hemoderivados, pediatrico, transfusión, tromboelastometríaAbstract
Los pacientes pediátricos sometidos a cirugía cardiaca reciben con mucha frecuencia transfusiones de sangre. En los últimos años el uso de la tromboelastometría como guía para tomar decisiones junto con un mejor entendimiento de las alteraciones que se producen en la hemostasia tratan de reducir la prevalencia de transfusiones en estas intervenciones.
La detección precoz de anormalidades en la hemostasia aumenta la posibilidad de iniciar medidas para minimizar las pérdidas de sangre perioperatorias y la necesidad de transfusiones.
References
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2.- Williams GD, Bratton SL, Ramamoorthy C. Factors associated with blood loss and blood product transfusions: a multivariate analysis in children after open-heart surgery. Anesth Analg1999;89:57–64.
3.- Whitson BA, Huddleston SJ, Savik K, Shumway SJ. Bloodless cardiac surgery is associated with decreased morbidity and mortality. J Card Surg 2007;22:373–8.
4.- Martin P, Horkay F, Rajah SM, Walker DR. Monitoring of coagulation status using thrombelastography during paediatric open heart surgery. Int J Clin Monit Comput 1991;8:183–7.
5.- Spiess BD, Gillies BS, Chandler W, Verrier E. Changes intransfusion therapy and reexploration rate after institution of a blood management program in cardiac surgical patients. J CardiothoracVasc Anesth 1995;9:168–73.
6.- Koscielny J et al. A practical concept for preoperative identification of patients with impaired primary hemostasis. Clin Appl Thrombosos/Hemostasis (2004) 10:195-204.
7.- Osthaus WA, Boethig D, Johanning K, Rahe-Meyer N, TheilmeierG, Breymann T, Suempelmann R. Whole blood coagulation measured by modified thrombelastography (ROTEM) is impaired in infants with congenital heart diseases. Blood Coagul Fibrinolysis 2008;19:220–5.
8.- Haizinger B, Gombotz H, Rehak P, Geiselseder G, Mair R. Activated thrombelastogram in neonates and infants with complex congenital heart disease in comparison with healthy children. Br J Anaesth 2006;97:545–52.
9.- Goerlinger K, Dirkmann D, Hanke A, Dusse F, Hartmann M. Impact of thrombelastometry and impedance aggregometry based point-of-care coagulation management on usage of blood products in cardiovascular surgery. Euroanaesthesia 2008, May 31 - June 3, Copenhagen, Denmark.
10.- Louw J, Veenith T, Moondi P. Thromboelastography in clinical decision-making in the critically ill patient in a district general hospital ICU. Critical Care 2008, 12(Suppl 2):P212.
11.- Church GD, Matthay MA, Liu K, Milet M, Flori HR. Blood product transfusions and clinical outcomes in pediatric patients with acute lung injury. Pediatr Crit Care Med 2009;10:297–302.
12.- Miller BE, Mochizuki T, Levy JH, Bailey JM, Tosone SR, Tam VK, Kanter KR. Predicting and treating coagulopathies after cardiopulmonary bypass in children. Anesth Analg 1997;85:1196–202.
13.- Dara SI, Rana R, Afessa B, Moore SB, Gajic O. Fresh frozen plasma transfusion in critically ill medical patients with coagulopathy. Crit Care Med 2005;33:2667–71.
14.- Looney MR, Gropper MA, Matthay MA. Transfusion-related acute lung injury: a review. Chest 2004;126:249–58.
15.- Avidan MS, Alcock EL, Da Fonseca J, Ponte J, Desai JB,Despotis GJ, Hunt BJ. Comparison of structured use of routine laboratory tests or near-patient assessment with clinical judgement in the management of bleeding after cardiac surgery. Br J Anaesth 2004;92:178–86.
16.- Afshari A, Wikkels0 A, Brok J, M0ller AM, Wetterslev J. Thrombelastography (TEG) or thromboelastometry (ROTEM) to monitor haemotherapy versus usual care in patients with massive transfusion. Cochrane Database Syst Rev. 2011 Mar 16;3:CD007871
Published
2011-09-30
How to Cite
López, J., Cárceles, M., & Falcón, L. (2011). Infusión de hemoderivados guiada por tromboelastometría intraoperatoria en cirugía cardiaca pediátrica: Romlin BS, Wählander H, Berggren H, Synnergren M, Baghaei F, Nilsson K, Jeppsson A. Intraoperative thromboelastometry is associated with reduced transfusión prevalence in pediatric cardiac surgery. Anesth Analg 2011; 112:30-6. Revista Electrónica AnestesiaR, 3(9), 1. https://doi.org/10.30445/rear.v3i9.465
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Section
Critical reviews of articles
Revista Electrónica AnestesiaR by 