Öz
Craniofacial surgeries, especially in the face
region, is considered to be complicated initiatives in terms of
anesthesiologists, given both the age of the patients and the presence of
syndromic infant and the difficulty of operation. In these patients, blood loss
in the intraoperative period may cause an increase in the need for transfusion
as well as sudden cardiac arrest. Multimodal strategies are used in this complicated
surgery to prevent blood loss and avoid unnecessary transfusions. In this case
report, we aimed to discuss the perioperative blood management in a pediatric
case who received craniofacial surgery for the second time.
Anahtar Kelimeler
Kaynakça
- Meyer P, Renier D, Arnaud E, et al. Blood loss during repair of craniosynostosis. Br J Anaesth 1993; 71 (6): 854-7.
- Shander A, Javidroozi M, Ozawa S, Hare GM. What is really dangerous: Anaemia or transfusion? Br J Anaesth 2011; 107 (Suppl 1): i41-59.
- Goobie SM, Haas T. Bleeding management for pediatric craniotomies and craniofacial surgery. Paediatr Anaesth 2014; 24 (7): 678-89.
- Basta MN, Stricker PA, Taylor JA. A systematic review of the use of antifibrinolytic agents in pediatric surgery and implications for craniofacial use. Pediatr Surg Int 2012; 28 (11): 1059-69.
- Kurnik NM, Pflibsen LR, Bristol RE, Singh DJ. Tranexamic acid reduces blood loss in craniosynostosis surgery. J Craniofac Surg 2017; 28 (5): 1325-9.
- White N, Bayliss S, Moore D. Systematic review of interventions for minimizing perioperative blood transfusion for surgery for craniosynostosis. J Craniofac Surg 2015; 26 (1): 26-36.
- Mogensen S, Lubenow N, Nilsson P, et al. An evaluation of the mixed pediatric unit for blood loss replacement in pediatric craniofacial surgery. Paediatr Anaesth 2017;27(7):711-7.
- Bhananker SM, Ramamoorthy C, Geiduschek JM, et al. Anesthesia-related cardiac arrest in children: Update from the Pediatric Perioperative Cardiac Arrest Registry. Anesth Analg 2007; 105 (2): 344-50.
- Dahmani S, Orliaguet GA, Meyer PG, Blanot S, Renier D, Carli PA. Perioperative blood salvage during surgical correction of craniosynostosis in infants. Br J Anaesth 2000; 85 (4): 550-5.
- Bowen RE, Gardner S, Scaduto AA, Eagan M, Beckstead J. Efficacy of intraoperative cell salvage systems in pediatric idiopathic scoliosis patients undergoing posterior spinal fusion with segmental spinal instrumentation. Spine 2010; 35 (2): 246-51.
Öz
Özellikle
yüz bölgesini içeren kraniyofasiyal cerrahiler, hem hastaların yaşı ve sendromlu
bebek olmaları hem de operasyonun zorluğu dikkate alındığında, anestezistler
açısından komplike girişimler olarak kabul edilmektedir. Bu hastalarda
intraoperatif dönemde yaşanacak kan kayıpları transfüzyon gereksiniminde artışa
neden olabildiği gibi ani kardiyak arrestlere de yol açabilir. Bu tip komplike
cerrahilerde multimodal stratejiler kullanılarak kan kaybının önlenmesi ve
gereksiz transfüzyondan kaçınılması önerilmektedir. Bu olgu sunumunda ikinci
kez kraniyofasiyal cerrahiye alınan pediyatrik bir vakada güncel bilgiler
ışığında perioperatif kan yönetimini tartışmayı amaçladık.
Anahtar Kelimeler
Kaynakça
- Meyer P, Renier D, Arnaud E, et al. Blood loss during repair of craniosynostosis. Br J Anaesth 1993; 71 (6): 854-7.
- Shander A, Javidroozi M, Ozawa S, Hare GM. What is really dangerous: Anaemia or transfusion? Br J Anaesth 2011; 107 (Suppl 1): i41-59.
- Goobie SM, Haas T. Bleeding management for pediatric craniotomies and craniofacial surgery. Paediatr Anaesth 2014; 24 (7): 678-89.
- Basta MN, Stricker PA, Taylor JA. A systematic review of the use of antifibrinolytic agents in pediatric surgery and implications for craniofacial use. Pediatr Surg Int 2012; 28 (11): 1059-69.
- Kurnik NM, Pflibsen LR, Bristol RE, Singh DJ. Tranexamic acid reduces blood loss in craniosynostosis surgery. J Craniofac Surg 2017; 28 (5): 1325-9.
- White N, Bayliss S, Moore D. Systematic review of interventions for minimizing perioperative blood transfusion for surgery for craniosynostosis. J Craniofac Surg 2015; 26 (1): 26-36.
- Mogensen S, Lubenow N, Nilsson P, et al. An evaluation of the mixed pediatric unit for blood loss replacement in pediatric craniofacial surgery. Paediatr Anaesth 2017;27(7):711-7.
- Bhananker SM, Ramamoorthy C, Geiduschek JM, et al. Anesthesia-related cardiac arrest in children: Update from the Pediatric Perioperative Cardiac Arrest Registry. Anesth Analg 2007; 105 (2): 344-50.
- Dahmani S, Orliaguet GA, Meyer PG, Blanot S, Renier D, Carli PA. Perioperative blood salvage during surgical correction of craniosynostosis in infants. Br J Anaesth 2000; 85 (4): 550-5.
- Bowen RE, Gardner S, Scaduto AA, Eagan M, Beckstead J. Efficacy of intraoperative cell salvage systems in pediatric idiopathic scoliosis patients undergoing posterior spinal fusion with segmental spinal instrumentation. Spine 2010; 35 (2): 246-51.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Eylül 2019 |
| Gönderilme Tarihi | 11 Temmuz 2018 |
| Yayımlandığı Sayı | Yıl 2019 |