Tolerance of Anemia in Pediatrics - SABM - Patient Blood ...

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Anemia and Sepsis• Keep Hb > 10 gm/dL> 12gm in neonatees(Level II evidence)J. Brierley. “2007 Update from the American College of Critical CareMedicine.” Critical Care Medicine 2009, Vol 37, No 2: pp 666-88.• Keep Hb > 7 gm/dL“Surviving the Sepsis Campaign.” Phil Dellinger (ACCP, ATS, AACCN, etc.),Critical Care Medicine 2004, Vol 32, No 3: 856-873.
RBC Transfusion Thresholds inPediatric Patients with SepsisStable sepsis patients (TRIPICU):– Restrictive group (R) < 7 g% (n=69)– Liberal group (L) < 9.5 g% (n=68)– MOD (R=18.8%, L=19.1%)– LOS (p=0.74)– MR (p=0.44)Karam O., Tucci M., Canadian Critical Care Trial Group, 31 st International Symposium on Intensive Care and EmergencyMedicine, March 2011: Brussels, Belgium.
Page 1 and 2: Tolerance of Anemia in PediatricsNa
Page 3 and 4: Anemia:How Low Can We Go?• Health
Page 5 and 6: Number of units2011 PRBC Utilizatio
Page 7 and 8: Is it only Hb?VO2• Shock• Burns
Page 9 and 10: Developmental Changes in Hb
Page 11 and 12: Love all, Serve allHurt never, Serv
Page 13 and 14: Neonatal: Anemia howbad/Transfusion
Page 15 and 16: Effect of Transfusion in ELBW• U
Page 17 and 18: Liberal vs Restrictive Transfusions
Page 19 and 20: Kirpalani: (PINT) Trial (2006)• 4
Page 21 and 22: Long-term Outcome of the IowaTrial
Page 23 and 24: Survey of Canadian NeonatalTransfus
Page 25 and 26: PercentEffect of Blood Transfusion
Page 27 and 28: Blood Transfusion for Severe Anemia
Page 29 and 30: The Pediatric Heartache• Myocardi
Page 31 and 32: RCT of high vs low HB in post-op si
Page 33 and 34: Pretransfusion Hb and LOS98.37.9Has
Page 35: Subgroup ReportingPost Surgical*Pos
Page 40: Neonatal Anemia• Physiologic• E

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