Indian Journal of Anaesthesia  
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REVIEW ARTICLE
Year : 2014  |  Volume : 58  |  Issue : 5  |  Page : 652-657

Perioperative neonatal and paediatric blood transfusion


1 Department of Anesthesiology, Mahatma Gandhi Medical College, Jaipur, Rajasthan, India
2 Department of Anesthesiology, SMS Medical College, Jaipur, Rajasthan, India
3 Department of Anesthesiology, SK Soni Manipal Hospital, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Avnish Bharadwaj
14, Bharadwaj Marg, Joshi Colony, Barkat Nagar, Jaipur - 302 015, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.144679

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Paediatric patients undergoing surgical procedures commonly require some volume of blood or blood component replacement in the perioperative period. Paediatric patients undergoing major surgery associated with substantial blood loss should be evaluated pre-operatively. Pre-operative correction of anaemia may be done considering the age, plasma volume status, clinical status and comorbidities. Maximum allowable blood loss (MABL) for surgery must be calculated, and appropriate quantity of blood and blood components should be arranged. Intraoperative monitoring of blood loss should be done, and volume of transfusion should be calculated in a protocol based manner considering the volemia and the trigger threshold for transfusion for the patient and the MABL. Early haemostasis should be achieved by judicious administration of red blood cells, blood components and pharmacological agents.


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