March 2014. Volume 10. Number 1

In most children undergoing surgery for a congenital acyanotic heart disease, the surgical procedure could be blood-transfusion-free performed

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

de Gast-Bakker DH, de Wilde RB, Hazekamp MG, Sojak V, Zwaginga JJ, Wolterbeek R, et al. Safety and effects of two red blood cell transfusion strategies in pediatric cardiac surgery patients: a randomized controlled trial. Intensive Care Med. 2013;39:2011-9.
Reviewers: Rivas Fernández MÁ1, Aparicio Rodrigo M2.
1Hospital General de Cataluña. Sant Cugat del Vallés. Barcelona. España.
2Centro de Salud Entreví­as. Área 1. Madrid. España.
Correspondence: Mª Ángeles Rivas Fernández. Email: mayrivas5@gmail.com
Reception date: 22/11/2013
Acceptance date: 25/11/2013
Publication date: 08/01/2013

Abstract

Authors' conclusions: restrictive red blood cell transfusion for patients with a non cyanotic congenital heart defect undergoing elective cardiac surgery, with a threshold of haemoglobin (Hb) 8,0 g/dl, leads to a shorter hospital stay without a higher incidence of adverse events or complications, also it's secure and less expensive.

Reviewers' commentary: restrictive red blood cell transfusion is not associated with a longer hospital stay or a higher incidence of perioperative complications in regard to liberal blood cell transfusion. Moreover, it's less expensive and reduces the theoretical risk of donor exposure. The line of research for future studies will be to find alternative parameter to Hb, able to identify the individualize transfusion threshold.

How to cite this article

Rivas Fernández MA, Aparicio Rodrigo M. No es necesario transfundir a la mayoría de los niños sometidos a cirugía por cardiopatía no cianosante. Evid Pediatr. 2014;10:9.

AVC | Critically appraised articles

de Gast-Bakker DH, de Wilde RB, Hazekamp MG, Sojak V, Zwaginga JJ, Wolterbeek R, et al. Safety and effects of two red blood cell transfusion strategies in pediatric cardiac surgery patients: a randomized controlled trial. Intensive Care Med. 2013;39:2011-9.
Reviewers: Rivas Fernández MÁ1, Aparicio Rodrigo M2.
1Hospital General de Cataluña. Sant Cugat del Vallés. Barcelona. España.
2Centro de Salud Entreví­as. Área 1. Madrid. España.
Correspondence: Mª Ángeles Rivas Fernández. Email: mayrivas5@gmail.com
Reception date: 22/11/2013
Acceptance date: 25/11/2013
Publication date: 08/01/2013

How to cite this article

Rivas Fernández MA, Aparicio Rodrigo M. No es necesario transfundir a la mayoría de los niños sometidos a cirugía por cardiopatía no cianosante. Evid Pediatr. 2014;10:9.

References

  1. Slonim AD, Joseph JG, Turenne WM, Luban NL. Blood transfusions in children: a multi-institutional analysis of practices and complications. Transfusion. 2008;48:73-80.
  2. Kipps AK, Wypij D, Thiagarajan RR, Bacha EA, Newburger JW. Blood transfusion is associated with prolonged duration of mechanical ventilation in infants undergoing reparative cardiac surgery. Pediatr Crit Care Med. 2011;12:52-6.
  3. Willems A, Harrington K, Lacroix J, Biarent D, Joffe AR, Wensley D, et al. Comparison of two red-cell transfusion strategies after pediatric cardiac surgery: a subgroup analysis. Crit Care Med. 2010;38:649-56.
  4. Cholette JM, Rubenstein JS, Alfieris GM, Powers KS, Eaton M, Lerner NB. Children with single-ventricle physiology do not benefit from higher hemoglobin levels post cavopulmonary connection: results of a prospective, randomized, controlled trial of a restrictive versus liberal red-cell transfusion strategy. Pediatr Crit Care Med. 2011;12:39-45.
08/01/2013

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