Perioperative management of hemostasis in children and adolescents

Blood Cells Mol Dis. 2017 Sep:67:91-95. doi: 10.1016/j.bcmd.2017.01.009. Epub 2017 Jan 16.

Abstract

Invasive procedures in children are in most cases elective and are carried out in otherwise healthy children. While many surgeries are still performed in a hospital, more and more procedures are defined as "outpatient procedures," leading to increased discussion about safety and risks. This review will examine common practices, review the sparse literature and provide recommendations regarding the identification of children with increased bleeding risk, planning for children with known bleeding disorders and strategies for perioperative management. In conclusion, after careful planning, surgeries can be performed safely even in children with known bleeding disorders.

Keywords: Bleeding; Bleeding disorders; Children; Perioperative; Surgery.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Blood Coagulation Disorders / complications
  • Blood Coagulation Disorders / therapy
  • Blood Platelet Disorders / complications
  • Blood Platelet Disorders / therapy
  • Child
  • Hemorrhage / etiology
  • Hemorrhage / prevention & control*
  • Hemostasis*
  • Humans
  • Perioperative Care / methods*