Blood Component Therapy in Pediatric Intensive Care Unit in Tertiary Care Center: An Audit

Maaz Ahmed, Sushma Save
The skill of dealing with the fluids thus offering the hemodynamic aid is crucial while treating critically ill. With alarm regarding rate of inappropriate transfusion being carried out especially as against the rainbow of adverse effects of transfusion. Aim of the study was to investigate the current transfusion practice in the critically ill children and see whether the transfusions were in accordance to the Indian Academy of Pediatrics [IAP] recommendations. Material and methods: Prospective
more » ... ethods: Prospective observational exploratory study in Pediatric intensive care unit [PICU] of a Tertiary care center. The study enrolled 122 patients admitted in PICU with age 29 days to 12 years who received blood component therapy from the initiation of the study in 2012 over a period of 12 months. The qualitative data was represented in the form of frequency and percentage tables with the help of SPSS version 21. Results: We found in our study that a total of 161 transfusions, 74.53% patients received packed cells, 14.28% received platelets and 11.18% patients received fresh frozen plasma. Twenty five percent packed cell transfusions were not in accordance to IAP recommendations and 44.5% were transfused with pre-transfusion hemoglobin more than 7 gm%. Among the packed cell transfusions received mean pretransfusion hemoglobin was found to be 7.45+/-1.58. The platelets and fresh frozen plasma transfusions that were in accordance to IAP recommendations were 73.91% and 83.33% respectively. Conclusion: Red blood cells are most frequently transfused blood component in PICU. Inappropriate transfusions of blood components are plaguing the optimal utility of this valuable resource. Thus regular audit of blood component therapy to review the optimum utilization of blood components becomes necessary.