Pediatric anesthesia & critical care
A survey on perioperative red blood cell transfusion trigger strategies for pediatric patients in the Nordic countries
Authors' conclusion
Anesthesiologists in the Nordic countries report restrictive perioperative RBC transfusion strategies for children that are mostly in agreement with the international TAXI recommendations.
Study context
- Population
- Anesthesiologists treating pediatric patients at university hospitals in the Nordic countriesof 266 contacted
- Participants
- 180 participants
- Outcome
- Hemoglobin thresholds triggering perioperative RBC transfusion in pediatric clinical scenarios
Methodological detailselectronic web-based survey, six clinical scenarios, multinational (Nordic countries), Survey open February 1, 2023 to May 1, 2023
- Electronic web-based survey
- Six clinical scenarios
- Multinational (Nordic countries)
- Survey open February 1, 2023 to May 1, 2023
Main finding
As reported in the abstract
Hemoglobin transfusion threshold by scenario
Observational data: associations, not effects.
Further findings
Non-hemoglobin transfusion triggers
- High lactate level
- 74.2%
- Increasing heart rate
- 68.0%
- Prolonged capillary refill time
- 48.3%
- Lowered BP
- 47.8%
Red blood cells (RBC) transfusion strategies by country, work experience, or pediatric anesthesia fellowship
- No statistical difference
Original publication
A survey on perioperative red blood cell transfusion trigger strategies for pediatric patients in the Nordic countries. Acta Anaesthesiol Scand. Published 28 March 2024. doi:10. 1111/ aas. 14416
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