Pediyatrik Kalp Cerrahisinde Transfüzyon: ID Prospektif, Gözlemsel Çalışma.

Objective: Transfusion of blood and blood products may be unavoidable in pediatric patients undergoing cardiac surgery. The aim of this study was to determine the factors and risks associated with transfusion of blood and blood products in these patients. Method: Preoperative demographic data, cardiopulmonary bypass (CPB) and operation times were recorded. Hematocrit and hemoglobin values were recorded at the beginning, during and at the end of CPB. The lowest body temperature during CPB, intraoperative consumptions of crystalloid, colloid, blood, blood products were recorded. The consumption of blood and blood products, length of stay intensive care unit (ICU) and hospital, and mortality were recorded during the postoperative period. Results: Eighty-three children were included in the study. Intraoperative transfusion of erythrocyte suspension (ES) was more frequently applied in patients with RACHS1: 3 when compared with the patients with RACHS1: 2 (p=0.009). A negative correlation was detected between age and postoperative ES, total erythrocyte and total fresh frozen plasma (FFP) transfusions during intraoperative, and postoperative periods. A a positive correlation was determined between CPB duration and intraoperative erythrocyte and FFP, postoperative erythrocyte, FFP, cryoprecipitate, total erythrocyte and total FFP consumptions. The intraoperative ES and FFP consumptions, the postoperative cryoprecipitate consumptions were higher in cyanotic children (ES p=0.002; FFP p=0.002, cryoprecipitate p=0.026) when compared with acyanotic children. Fifteen patients died. Postoperative ES and FFP, total erythrocyte and FFP consumptions were higher in the deceased patients (total ES p=0.001, total FFP p=0.003). Conclusion: A correlation was detected between intraoperative, and postoperative transfusion rates, age, RACHS1 scores, body temperatures of the patients, duration of CPB, and presence of cyanosis in children undergoing open heart surgery. Higher rates of ES and FFP transfusions were detected in exited patients. [ABSTRACT FROM AUTHOR]