Canadian tertiary care pediatric massive hemorrhage protocols: a survey and comprehensive national review

Arsenault, Valérie; Lieberman, Lani; Akbari, Pegah; Murto, Kimmo; ,

doi:10.1007/s12630-023-02641-w

Cited by 3 publications

(4 citation statements)

References 62 publications

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“…In this issue of the Journal, Arsenault et al report the results of a survey of Canadian tertiary care hospitals regarding their massive transfusion protocols to answer this question. 7 Arsenault et al approached transfusion medicine medical directors of all Canadian university-affiliated hospitals. They used descriptions by domains and subdomains, established and published previously in a Delphi consensus publication.…”

mentioning

confidence: 99%

“…8 Their survey shows a high variability of Canadian pediatric massive hemorrhage protocols and underuse in non-trauma settings. 7 Strengths of their survey include a high response rate and the use of a questionnaire with established validity and reliability. Arsenault et al have included all Canadian university-affiliated pediatric care centres with a remarkable 100% response.…”

mentioning

confidence: 99%

“…rendent compte des re ´sultats d'un sondage mene ´aupre `s des ho ˆpitaux de soins tertiaires canadiens au sujet de leurs protocoles de transfusion massive afin de re ´pondre a `cette question. 7 Arsenault et coll. ont approche ´les directions me ´dicales en me ´decine transfusionnelle de tous les ho ˆpitaux universitaires affilie ´s au Canada.…”

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“…8 Leur enque ˆte montre une grande variabilite ´des protocoles canadiens d'he ´morragie massive pe ´diatrique et une sous-utilisation dans les milieux non traumatiques. 7 Les points forts de leur enque ˆte comprennent un taux de re ´ponse e ´leve ´et l'utilisation d'un questionnaire dont la validite ´et la fiabilite ´sont e ´tablies. Arsenault et coll.…”

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Pediatric massive hemorrhage—are we all following similar protocols?

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confidence: 99%

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confidence: 99%

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Pediatric Trauma Assessment, Resuscitation, Anesthesia care and Beyond

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Henry

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Survey of pediatric massive transfusion protocol practice at United States level I trauma centers: An AABB Pediatric Transfusion Medicine Subsection study

Adkins,

Noland,

Jacobs

et al. 2024

Transfusion

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BackgroundTrauma remains the leading cause of pediatric mortality in the United States. Although use of massive transfusion protocols (MTPs) in this population is widespread, optimal pediatric resuscitation is not well established. We sought to assess contemporary pediatric MTP practice in the United States.Study Design and MethodsA web‐based survey was designed by the Association for the Advancement of Blood & Biotherapies (AABB) Pediatric Transfusion Medicine Subsection and distributed to select American College of Surgeons (ACS) Level I Verified pediatric trauma centers. The survey assessed current MTP policy, implementation, and recent changes in practice.ResultsResponse rate was 55% (22/40). Almost half of the respondents were from the South. The median RBC:plasma ratio was 1 (interquartile range 1–1.5). Protocolized fibrinogen supplementation was common while integration of antifibrinolytic therapy into MTPs was infrequent. Viscoelastic testing (VET) was available at most sites, 71% (15/21, one site did not respond), and was generally utilized on an ad‐hoc basis. Roughly, a third of sites had changed their MTP in the past 3 years due to blood supply issues, and about a third reported having group O Whole Blood on‐site.ConclusionMTP practice is similar throughout the United States. Though fibrinogen supplementation is common—other emerging interventions such as antifibrinolytic therapy or utilization of routine viscoelastic testing—are not widespread. Pediatric transfusion medicine experts must continue to follow practice change, as contemporary large trials begin to characterize new supportive modalities to optimize resuscitation in pediatric trauma patients.

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Canadian tertiary care pediatric massive hemorrhage protocols: a survey and comprehensive national review

Cited by 3 publications

References 62 publications

Pediatric massive hemorrhage—are we all following similar protocols?

Pediatric massive hemorrhage—are we all following similar protocols?

Pediatric Trauma Assessment, Resuscitation, Anesthesia care and Beyond

Survey of pediatric massive transfusion protocol practice at United States level I trauma centers: An AABB Pediatric Transfusion Medicine Subsection study

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