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Showing results for tags 'transfusion'.
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A debate broke out recently at one of our rounds when someone asked whether a recent case of NEC was possibly related to a transfusion that a baby received. Much has been written about Transfusion Associated Necrotizing Enterocolitis (TANEC) with the pendulum swinging back and forth between it existing as a real entity or simply being an association that is not causative in the least. Using one of my favourite sources, a retrospective analysis of the Canadian Neonatal Network database found no difference in mortality or morbidities for those who had a transfusion and NEC vs those without. De
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When should blood be given prior to surgery?
AllThingsNeonatal posted a blog entry in All Things Neonatal
A 28 week preterm infant now two weeks of age develops bilious emesis and abdominal distension. An x-ray reveals an intestinal perforation and surgery is consulted. Arrangements are made to go to the operating room for a laparotomy and due to apnea and hypotension the baby is both intubated and placed on dopamine. The resident on service ensures that blood is available in the operating room and an hour after presentation the baby is found to have a HgB of 102 g/L with a HcT of 35%. I don’t know about you but if I am then asked whether we should give blood now or in the OR I might say -
My first post in your forum. Congratulations and keep up the good work. I would like to know your clinical prctice regarding diagnosis and management of NAIT. 1. Which combination of clinical symptoms and lab results are suggesting NAIT, taking into consideration that current anti platelet Ab detection has a high rate of false negatives? 2. What kind of trnsfusion product do you use. Random donor platelets, do you have typed platelets, do you perform mother platelet apheresis? 3. Have you come across any non-responders? 4. What about genetic councelling to parents of NAIT neonates? Dim
