Minimizing blood transfusions in the surgical correction of craniosynostosis: a 10-year single-center experience

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Christopher M BonfieldPaul Steinbok

Abstract

Our center previously reported low transfusion rates for craniosynostosis surgery by two experienced neurosurgeons using standard intraoperative techniques and acceptance of low hemoglobin levels. This study evaluated whether low rates were maintained over the last 10 years and if a less experienced neurosurgeon, trained in and practicing in the same environment, could achieve similar outcomes. All craniosynostosis operations performed in children between 2004 and 2015 were reviewed retrospectively. Transfusion rates were calculated. Analyses examined the relationship of transfusion to craniosynostosis type, surgical procedure, redo operation, surgeon, and perioperative hemoglobin levels. Two hundred eighteen patients were included: 71 open sagittal, 28 endoscopic-assisted sagittal, 32 unicoronal, 14 bicoronal, 42 metopic, and 31 multisuture. Median age at operation was 9.1 months. Overall transfusion rate was 24 %: 17 % open sagittal, 7 % endoscopic-assisted sagittal, 6 % unicoronal, 21 % bicoronal, 45 % metopic, and 45 % multisuture. The timing of transfusions were 75, 21, and 4 % for intraoperative, postoperative, and both, respectively. Patients not receiving transfusion had a mean lowest hemoglobin of 87 g/l (range 61-111)...Continue Reading

References

Sep 1, 1992·Plastic and Reconstructive Surgery·D T GaultB M Jones
Dec 1, 1993·British Journal of Anaesthesia·P MeyerG Barrier
Jul 22, 1999·Journal of Neurosurgical Anesthesiology·L W FaberowskiJ P Mickle
Jan 15, 2000·Journal of Neurosurgical Anesthesiology·P HansM Lamy
Jan 12, 2002·Plastic and Reconstructive Surgery·Anand K DevaJoseph G McCarthy
Sep 26, 2002·Journal of Neurosurgery·Stephen HentschelJohn Kestle
Feb 14, 2003·The Journal of Pediatrics·Allyson M GoodmanNaomi L C Luban
Aug 20, 2003·Journal of Neurosurgery·Celia C D'ErricoKarin M Muraszko
Jan 16, 2004·Critical Care Medicine·Lawrence T Goodnough
Apr 15, 2005·Seminars in Pediatric Neurology·C Di RoccoD Pietrini
Apr 20, 2005·Annals of Plastic Surgery·John G MearaMike L Levy
Sep 19, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Luca MassimiConcezio Di Rocco
Oct 4, 2007·The Journal of Craniofacial Surgery·Othon PapadopoulosAlkiviadis Kostakis
Jan 25, 2008·The Journal of Craniofacial Surgery·Kara KrajewskiJames P Bradley
Sep 25, 2008·The Journal of Craniofacial Surgery·Christian DuncanMark Caswell
Dec 23, 2008·The Annals of Thoracic Surgery·Andrea SzékelyAndrás Treszl
Mar 5, 2009·The Journal of Craniofacial Surgery·Nicholas WhiteEdmund D Carver
Mar 28, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nicholas WhiteGuirish Solanki
Dec 19, 2009·Paediatric Anaesthesia·Paolo CortellazziLaura Valentini
Sep 17, 2011·Paediatric Anaesthesia·Allon van UitertJurgen C de Graaff
Oct 1, 2011·The Journal of Craniofacial Surgery·Todd A MaugansGeorge Istaphanous
Nov 19, 2011·Acta Anaesthesiologica Scandinavica·I GunnarssonA Thorsteinsson
Feb 9, 2012·Anaesthesia and Intensive Care·Peter W Howe, Michael G Cooper
Aug 9, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·David F Jimenez, Constance M Barone
Aug 17, 2012·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Paul A StrickerJohn J McCloskey
Nov 19, 2013·The Journal of Craniofacial Surgery·Adam J OppenheimerSteven R Buchman
Jan 22, 2014·Plastic and Reconstructive Surgery·Jeffrey A FearonMorley Herbert
Dec 24, 2014·The Journal of Craniofacial Surgery·John Clayton CrantfordLisa R David
May 2, 2015·Neurosurgical Focus·Shane K F SealDouglas J Courtemanche

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Citations

Oct 19, 2016·Annales de chirurgie plastique et esthétique·Y BennisP Guerreschi
Oct 31, 2017·The Journal of Craniofacial Surgery·Chang ParkSimon Eccles
Jul 7, 2018·Journal of Neurosurgery. Pediatrics·Cecilia L Dalle OreHal S Meltzer
Jun 1, 2019·Journal of Neurosurgery. Pediatrics·Campbell LilesChevis N Shannon
Aug 27, 2019·The Journal of Craniofacial Surgery·Bradley R HallJason J Miller
Oct 3, 2017·The Journal of Craniofacial Surgery·Robert J MannJohn Polley
Jun 4, 2020·The Journal of Craniofacial Surgery·Srijaya K ReddyNina Deutsch
Jul 2, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Anshit GoyalDavid J Daniels
May 11, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Paul J EscherRobert J Tibesar
Feb 11, 2021·Anesthesiology Clinics·Nicholas Meier
Oct 16, 2020·The Journal of Craniofacial Surgery·Danielle H RochlinRohit K Khosla

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