Pediatric anesthesia & critical care

Canadian tertiary care pediatric massive hemorrhage protocols: a survey and comprehensive national review

Can J AnaesthPublished Cross-sectional survey and national review of policy documents

Authors' conclusion

Pediatric MHP content was highly variable. Activation demographics suggest underuse in nontrauma settings.

Study context

Population
Canadian pediatric tertiary care hospitalssites, 100% response rate
Participants
18 participants
Outcome
Pediatric MHP content
Methodological detailsdocument review
  • Document review

Main finding

As reported in the abstract

Hospitals with pediatric-specific MHP content
13/18
Trauma as most common indication for MHP activation
54%
Activation based on specific blood volume anticipated/transfused over time
10/13
Rapid incorporation of laboratory-guided goal-directed transfusion
12/13
Sites using an audit tool
8

Observational data: associations, not effects.

Original publication

Canadian tertiary care pediatric massive hemorrhage protocols: a survey and comprehensive national review. Can J Anaesth. Published 6 December 2023. doi:10.1007/s12630-023-02641-w

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