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

2. 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)

3. 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

4. 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.