Bleeding and coagulation, pediatric case reports SSAI 2017 Birgitta Romlin MD,PhD Anaesthesia and Intensive Care Queen Silvia Children’s Hospital, Gothenburg, Sweden

Key points Trauma care very similar to adult care, need for calculation of fluid/transfusions and medication Standard monitoring with thromboelastometry, blood samples Don’t forget the basics (pH, Ca, Temp, Hb)

Key points Small children less than 1 year have a different setup in the coagulation system What is my method really measuring Minimize the risk for postoperative thrombosis You are able to influence the outcome Measure coagulation capacity preoperatively in selected cases

In summary What kind of patient? Which main bleeding/coagulation problems may I expect? Combine clinical evaluation, an algorithm and monitoring Make a decision regarding treatment Reevaluate If you are interested in more details and our other studies regarding monitoring of coagulation and platelet function, please read my thesis.