Blood sparing in craniosynostosis surgery

Jan B. Wade · #1 (**permalink**) 04-16-2005, 01:07 PM

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=15828712

Semin Pediatr Neurol. 2004 Dec;11(4):278-87.

Blood sparing in craniosynostosis surgery.

Di Rocco C, Tamburrini G, Pietrini D.

Pediatric Neurosurgical Unit, Institute of Anesthesiology, Catholic University Medical School, Largo "A. Gemelli," 8, 00,168 Rome, Italy.

One of the main risks of craniosynostosis surgery is the possible need for an allogenic blood transfusion (ABT). Most patients are operated on in the first months of life, when physiological conditions are particularly sensitive to even limited blood losses. Furthermore, most surgical techniques proposed in the past were based on extensive craniectomies and cranial remodeling. Because of the known infective and immunologic risks of ABT, in recent years more attention has been dedicated to factors that might help reduce the risk of ABT. We review recent preoperative (ie, erythropoietin administration), intraoperative (ie, acute normovolemic hemodilution, intraoperative blood salvage), and postoperative (ie, clinical monitoring, postoperative blood salvage) anesthesiologic procedures developed with this aim in mind. We also consider operative techniques and technical apparatus that reduce surgical invasiveness, particularly preoperative planning, age selection, and the role of endoscopic assistance and gradual distraction devices.

Thread Tools	Search this Thread
Show Printable Version Email this Page	Search this Thread: Advanced Search
Display Modes	Rate This Thread
Linear Mode Switch to Hybrid Mode Switch to Threaded Mode	Rate This Thread:

Similar Threads
Thread	Thread Starter	Forum	Replies	Last Post
Craniosynostosis	Bentonio	Ask a Professional	3	07-26-2006 12:25 PM
Blood Sparing Strategies	Jan B. Wade	Transfusion Alternatives	0	09-06-2005 06:34 AM
Clinical Outcomes in Cardiac Surgery: Conventional Surgery versus Bloodless Surgery	Jan B. Wade	Medical Articles and Abstracts	0	06-03-2005 06:14 AM
Progress in ascending and aortic arch surgery: minimally invasive surgery, blood cons	Nika	Medical Articles and Abstracts	0	05-08-2005 07:03 PM
Laparoscopic nephron-sparing surgery in a Jehovah's Witness patient	Nika	Medical Articles and Abstracts	0	05-08-2005 06:45 PM

Blood sparing in craniosynostosis surgery

Welcome to the latest in bloodless medicine and blood transfusion alternatives.

We are a community of medical professionals and members of the public who are responding to the worldwide concern about the efficacy, cost and availability of donor blood.

Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)