Kahn Stacie, Chegondi Madhuradhar, Nellis Marianne E, Karam Oliver
Division of Pediatric Critical Care Medicine, NewYork-Presbyterian, Morgan Stanley Children's Hospital, New York, NY, United States.
Division of Pediatric Critical Care Medicine, Stead Family Children's Hospital- Carver College of Medicine, University of Iowa, Iowa, IA, United States.
Front Pediatr. 2020 Nov 13;8:601659. doi: 10.3389/fped.2020.601659. eCollection 2020.
Critically ill children are a unique population who frequently receive plasma and platelet transfusions for both active bleeding and mitigation of bleeding risk. While these products are frequently administered, transfusion indications in this population remain unclear, and practice varies across institutions and providers. In this manuscript, we will outline the current evidence regarding plasma and platelet transfusions for hemostasis in the pediatric intensive care setting. For both products, we will describe the product composition, epidemiology, and product indications and discuss the potential risks and benefits involved with the transfusion. We will also discuss knowledge gaps and future areas of research.
危重症儿童是一个特殊群体,他们经常因活动性出血和降低出血风险而接受血浆和血小板输注。虽然这些产品经常被使用,但该群体的输血指征仍不明确,不同机构和医疗人员的做法也存在差异。在本手稿中,我们将概述目前关于儿科重症监护环境中用于止血的血浆和血小板输注的证据。对于这两种产品,我们将描述其产品成分、流行病学情况、产品适应证,并讨论输血所涉及的潜在风险和益处。我们还将讨论知识空白和未来的研究领域。