Anaesthesia and Intensive Care Medicine 2012;13(1):24-27

Transfusion Guidelines in Children: I

Rachel Hartrey

Abstract
The transfusion of a blood product into a child is associated with a greater risk of harm when compared to an adult. The younger the child, the greater the risks. This article will present information concerning lower levels of haemoglobin that can be tolerated without detrimental effects, and how blood loss can be assessed to ensure that blood products are not transfused unnecessarily.

(Excerpt:
"The transfusion of a blood product into a child is associated with a greater risk of harm when compared to an adult. The younger the child, the greater these risks are: 18:100,000 in all paediatric age groups, increasing to 37:100,000 in those less than 1 year of age; this compares to 13:100,000 in adults. These calculations are based on red cell transfusion alone and do not take into account risks posed by other blood products, in particular fresh frozen plasma...and platelets.")