Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-27

27_Everything about Blood

Pdf Summary

The presentation discusses the topic of blood transfusions in critically ill children, focusing on red blood cells, platelets, and plasma. It highlights the risks associated with transfusions, such as acute hemolytic reactions, transfusion-associated circulatory overload, and transfusion-associated lung injury. The need for a cautious approach to transfusion strategies is emphasized, with a reminder that less is often more, especially if oxygen delivery is adequate. <br /><br />The presentation also touches on the lack of high-quality data to guide platelet and plasma transfusion decisions in children. It suggests that minimizing transfusions may be beneficial in some cases, and emphasizes the importance of patient blood management beyond just transfusion indications. This includes elements like permissive anemia, avoiding unnecessary prophylactic transfusions, and early bleeding intervention.<br /><br />Key takeaways include the understanding that blood product transfusions carry inherent risks, the importance of preventing anemia and managing bleeding promptly, and the need for further research to address questions related to transfusion indications, product optimization, and individual patient risk assessments. Overall, the presentation advocates for a thoughtful and individualized approach to transfusion practices in pediatric critical care settings.

Keywords

blood transfusions

critically ill children

red blood cells

platelets

plasma

transfusion risks

patient blood management

permissive anemia

bleeding intervention

pediatric critical care

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