blood , plasma and platete transfusion

[mawjood]

hi, every body...............

I wonder what is blood volume in neonatal, how many cc we should extracted from the baby and how many cc we should transfused of PRBS?

and when should we transfused FFP?

Thank you very much?

[Zippedodah]

We run plts 30-60 minutes, depends on the kid. Boluses and FFP usually over 30 minutes...you want to get the volume in and the BP up.

On our tiny ones, we keep blood out and transfuse automatically when we hit 10%/kg. Most of our kids are on Epo now, so we are more tolerant of lower hcts as long as they are reticing. The only way they get transfused is if they are Aing and Bing and Ding all over the place and have a high high rate.

For pre-op labs, we have new coag containers that only need 1ml! Yippee! Then the CBC/BMP/PLT is another 1ml. Chromosomes and metabolics are 3-5 mls.