Overview of Plasma and Platelet Transfusions in Critically Ill Children

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 in...

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Main Authors: Stacie Kahn, Madhuradhar Chegondi, Marianne E. Nellis, Oliver Karam
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-11-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2020.601659/full
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author Stacie Kahn
Madhuradhar Chegondi
Marianne E. Nellis
Oliver Karam
author_facet Stacie Kahn
Madhuradhar Chegondi
Marianne E. Nellis
Oliver Karam
author_sort Stacie Kahn
collection DOAJ
description 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.
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spelling doaj.art-ac4f96528fc144c79bf9799ec4b6888a2022-12-22T00:21:54ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-11-01810.3389/fped.2020.601659601659Overview of Plasma and Platelet Transfusions in Critically Ill ChildrenStacie Kahn0Madhuradhar Chegondi1Marianne E. Nellis2Oliver Karam3Division of Pediatric Critical Care Medicine, NewYork-Presbyterian, Morgan Stanley Children's Hospital, New York, NY, United StatesDivision of Pediatric Critical Care Medicine, Stead Family Children's Hospital- Carver College of Medicine, University of Iowa, Iowa, IA, United StatesPediatric Critical Care Medicine, NewYork-Presbyterian Hospital – Weill Cornell Medicine, New York, NY, United StatesDivision of Pediatric Critical Care Medicine, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA, United StatesCritically 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.https://www.frontiersin.org/articles/10.3389/fped.2020.601659/fullplatelet transfusionplasmacritical ill childrenhemostasishemorrhage
spellingShingle Stacie Kahn
Madhuradhar Chegondi
Marianne E. Nellis
Oliver Karam
Overview of Plasma and Platelet Transfusions in Critically Ill Children
Frontiers in Pediatrics
platelet transfusion
plasma
critical ill children
hemostasis
hemorrhage
title Overview of Plasma and Platelet Transfusions in Critically Ill Children
title_full Overview of Plasma and Platelet Transfusions in Critically Ill Children
title_fullStr Overview of Plasma and Platelet Transfusions in Critically Ill Children
title_full_unstemmed Overview of Plasma and Platelet Transfusions in Critically Ill Children
title_short Overview of Plasma and Platelet Transfusions in Critically Ill Children
title_sort overview of plasma and platelet transfusions in critically ill children
topic platelet transfusion
plasma
critical ill children
hemostasis
hemorrhage
url https://www.frontiersin.org/articles/10.3389/fped.2020.601659/full
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