EARLY PREEMPTIVE TRANSFUSION INFUSION (EPTI) APPROACH FOR PEDIATRIC COMPLEX CRANIAL VAULT RECONSTRUCTIVE SURGERY: A SINGLE CENTER OBSERVATIONAL STUDY
Seveso M1, Caldiroli D1, Furlanetto M2, Valentini L2
1 Neuroanesthesia and Neurointensive Care; 2 Pediatric Neurosurgery – C. Besta Neurological Institute, Milan Italy
Significant blood loss during intra-operative vault surgical remodelling represents one of the principal issues in pediatric patients harbouring craniosynostosis. Adequate evaluation of blood loss is difficult, and literature only suggest context - sensitive approach to transfusion according to patient characteristics and clinical settings. A pilot study (1) conducted by our Institution defined and demonstrated that EPTI strategy approach may improve the well–being outcomes (refeeding time and LOS) in infants undergoing open cranioplasty. In the present study we retrospectively analyzed our outcomes on a larger series of infants after protocol standardization. We also addressed the preemptive ERCM (Estimated Red Cell Mass) as the constant variable in our transfusional program.