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Beethe, A.B., Spitznagel, R.A., Kugler, J.A., Goeller, J.K., et al. (2020) The Road to Tranfusion-Free Craniosynostosis Repair in Children Less than 24 Months Old: A Quality Improvement Initiative. Pediatric Quality & Safety, 4, e331.
https://doi.org/10.1097/pq9.0000000000000331

has been cited by the following article:

• TITLE: Patient Blood Management in Craniosynostosis Surgery

  AUTHORS: Claudine Kumba

  KEYWORDS: Craniosynostosis, Children, Transfusion, Outcome, Point of Care Viscoelastic Assays, Rotational Thromboelastometry

  JOURNAL NAME: Open Journal of Modern Neurosurgery, Vol.11 No.4, September 10, 2021

  ABSTRACT: Background: Craniosynostosis surgery is one of the most hemorrhagic interventions, where transfusion rates vary from 20% to 100% depending on the study. Objective: To describe intraoperative and postoperative outcomes in a secondary analysis of children who underwent craniosynostosis surgery included in the initial retrospective study with the aim of proposing intraoperative implementation optimization protocols for postoperative outcome improvement. Methods: Secondary analysis. The study was approved by the Ethics Committee. Results: There were 69 children with a median age of 10 [0 - 207] months. Eight (11.6%) patients had intraoperative and/or postoperative complications. One patient (1.5%) had intraoperative hemorrhagic shock, and two patients (2.9%) had intraoperative broncholaryngospasm. One patient (1.5%) had postoperative anaphylaxis. One patient (1.5%) had postoperative hemorrhagic shock. One patient (1.5%) had postoperative respiratory failure. Two patients (2.9%) had postoperative neurologic failure. One patient (1.5%) had neuro-meningeal sepsis. One patient (1.5%) had a re-operation. There was no in-hospital mortality. Fourty-eight patients (69.6%) had intraoperative transfusions. Conclusion: Transfusion protocols guided with point-of-care tests should be included in patient blood management programs in craniosynostosis surgery.