SCCM Resource Library-Plasma and Platelet Transfusion Strategies in Critically Ill Children Following Severe Trauma, Traumatic Brain Injury, and/or Intracranial Hemorrhage

Plasma and Platelet Transfusion Strategies in Critically Ill Children Following Severe Trauma, Traumatic Brain Injury, and/or Intracranial Hemorrhage

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Video Transcription

Video Summary

Dr. Rob Russell, a pediatric surgeon at UAB and Children's of Alabama, discusses plasma and platelet transfusion strategies for pediatric patients with severe trauma, traumatic brain injury, and non-traumatic intracranial hemorrhage. The literature review found limited evidence to make specific recommendations for these patients. However, they suggest close monitoring of bleeding and the coagulation system. For patients in hemorrhagic shock, a resuscitation strategy involving a ratio of red blood cells, plasma, and platelets may be considered. Viscoelastic monitoring, such as thromboelastometry, could be used alongside standard laboratory tests. The team did not reach a consensus on platelet thresholds or the management of INR levels. Further research is needed in this population to guide resuscitation strategies.

Asset Subtitle

Pediatrics, Trauma, Hematology, 2022

Asset Caption

The TAXI-CAB initiative assessed current literature with the goal of generating evidence-based recommendations and guidelines for plasma and platelet transfusion practices in critically ill children.

Meta Tag

Content Type Presentation

Knowledge Area Pediatrics

Knowledge Area Trauma

Knowledge Area Hematology

Knowledge Level Advanced

Membership Level Select

Tag Pediatrics

Tag Traumatic Brain Injury TBI

Tag Transfusion

Year 2022

Keywords

pediatric patients

plasma transfusion

platelet transfusion

severe trauma

traumatic brain injury

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