Pediyatrik kraniyofasiyal cerrahi sırasında kan yönetimi

Özellikle yüz bölgesini içeren kraniyofasiyal cerrahiler, hem hastaların yaşı ve sendromlu bebek olmaları hem de operasyonun zorluğu dikkate alındığında, anestezistler açısından komplike girişimler olarak kabul edilmektedir. Bu hastalarda intraoperatif dönemde yaşanacak kan kayıpları transfüzyon gereksiniminde artışa neden olabildiği gibi ani kardiyak arrestlere de yol açabilir. Bu tip komplike cerrahilerde multimodal stratejiler kullanılarak kan kaybının önlenmesi ve gereksiz transfüzyondan kaçınılması önerilmektedir. Bu olgu sunumunda ikinci kez kraniyofasiyal cerrahiye alınan pediyatrik bir vakada güncel bilgiler ışığında perioperatif kan yönetimini tartışmayı amaçladık.

Blood management during pediatric craniofacial surgery

Craniofacial surgeries, especially in the face region, is considered to be complicated initiatives in terms of anesthesiologists, given both the age of the patients and the presence of syndromic infant and the difficulty of operation. In these patients, blood loss in the intraoperative period may cause an increase in the need for transfusion as well as sudden cardiac arrest. Multimodal strategies are used in this complicated surgery to prevent blood loss and avoid unnecessary transfusions. In this case report, we aimed to discuss the perioperative blood management in a pediatric case who received craniofacial surgery for the second time.

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