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Red Blood Cell Transfusion: Decision Making in Pediatric Intensive Care Units

Lacroix, Jacques, MD, FRCPC, FAAP ; Demaret, Pierre, MD ; Tucci, Marisa, MD, FRCPC

Seminars in perinatology, 2012-08, Vol.36 (4), p.225-231 [Periódico revisado por pares]

United States: Elsevier Inc

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Título:
Red Blood Cell Transfusion: Decision Making in Pediatric Intensive Care Units
Autor: Lacroix, Jacques, MD, FRCPC, FAAP ; Demaret, Pierre, MD ; Tucci, Marisa, MD, FRCPC
Assuntos: Child ; Critical Illness - therapy ; Decision Making ; erythrocyte ; Erythrocyte Indices ; Erythrocyte Transfusion - standards ; guidelines ; hemoglobin ; Hemoglobins ; Humans ; intensive care ; Intensive Care Units, Pediatric ; Neonatal and Perinatal Medicine ; pediatrics ; Pediatrics - methods ; Practice Guidelines as Topic ; Severity of Illness Index ; transfusion
É parte de: Seminars in perinatology, 2012-08, Vol.36 (4), p.225-231
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: The results of the Transfusion Requirements in Pediatric Intensive Care Unit study suggest that a red blood cell transfusion is not required in stable or stabilized pediatric intensive care unit children as long as their hemoglobin level is >7 g/dL. Subgroup analyses suggest that this recommendation is also adequate for stable critically ill children with a high severity of illness, respiratory dysfunction, acute lung injury, sepsis, neurological dysfunction, severe head trauma, or severe trauma, and during the postoperative period, for noncyanotic patients older than 28 days. A small randomized clinical trial suggests that a hemoglobin level of 9 g/dL is safe in the postoperative care of children with single-ventricle physiology undergoing cavopulmonary connection. Although there is consensus that blood is clearly indicated for the treatment of hemorrhagic shock, the clinical determinants that should prompt pediatric intensivists to prescribe a red blood cell transfusion to unstable PICU children are not well characterized.
Editor: United States: Elsevier Inc
Idioma: Inglês

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Red Blood Cell Transfusion: Decision Making in Pediatric Intensive Care Units

Lacroix, Jacques, MD, FRCPC, FAAP ; Demaret, Pierre, MD ; Tucci, Marisa, MD, FRCPC

United States: Elsevier Inc

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