scholarly journals Risk of traumatic intracranial haemorrhage in children with bleeding disorders

2020 ◽  
Vol 56 (12) ◽  
pp. 1891-1897
Author(s):  
Silvia Bressan ◽  
Paul Monagle ◽  
Stuart R Dalziel ◽  
Meredith L Borland ◽  
Natalie Phillips ◽  
...  
Keyword(s):  
Intracranial Haemorrhage ◽  
Bleeding Disorders

scholarly journals Intracranial haemorrhage in children with inherited bleeding disorders in the UK 2003-2015: A national cohort study

Haemophilia ◽  
2018 ◽  
Vol 24 (4) ◽  
pp. 641-647 ◽  
Author(s):  
E. A. Chalmers ◽  
J. Alamelu ◽  
P. W. Collins ◽  
M. Mathias ◽  
J. Payne ◽  
...  
Keyword(s):  
Cohort Study ◽  
Intracranial Haemorrhage ◽  
Bleeding Disorders ◽  
National Cohort ◽  
The Uk

The incidence, risk and functional outcomes of intracranial haemorrhage in children with inherited bleeding disorders at one haemophilia center

Haemophilia ◽  
2016 ◽  
Vol 22 (4) ◽  
pp. 556-563 ◽  
Author(s):  
M. Bladen ◽  
E. Main ◽  
K. Khair ◽  
N. Hubert ◽  
E. Koutoumanou ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Intracranial Haemorrhage ◽  
Bleeding Disorders ◽  
Incidence Risk

The incidence, risk and functional outcomes of intracranial haemorrhage in children with inherited bleeding disorders

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e930-e931
Author(s):  
M. Bladen ◽  
K. Khair ◽  
E. Koutoumanou ◽  
R. Leisner ◽  
N. Hubert ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Intracranial Haemorrhage ◽  
Bleeding Disorders ◽  
Incidence Risk

An unusual cause of stridor in a neonate

1994 ◽  
Vol 108 (1) ◽  
pp. 63-64 ◽  
Author(s):  
Koh Kwong Fah ◽  
Henry K. K. Tan
Keyword(s):  
Vocal Fold ◽  
Intracranial Haemorrhage ◽  
Unusual Case ◽  
Haemophilia A ◽  
Bleeding Disorders ◽  
Vocal Fold Palsy

AbstractWe report an unusual case of unilateral vocal fold palsy due to intracranial haemorrhage in a neonate with undiagnosed haemophilia A. Bleeding disorders in neonates are briefly discussed and the importance of a systemic investigation of stridor in children is emphasized.

Rapid Screening Methods for Bleeding Disorders. A Three Year Survey

1964 ◽  
Vol 11 (02) ◽  
pp. 506-512 ◽  
Author(s):  
V. A Lovric ◽  
J Margolis
Keyword(s):  
Laboratory Tests ◽  
Capillary Blood ◽  
Screening Tests ◽  
Rapid Screening ◽  
Screening Methods ◽  
Bleeding Disorders ◽  
Routine Laboratory ◽  
Clotting Time ◽  
Kaolin Clotting Time ◽  
In Infants And Children

SummaryAn adaptation of “kaolin clotting time” and prothrombin time for use on haemolysed capillary blood provided simple and sensitive screening tests suitable for use in infants and children. A survey of three year’s experience shows that these are reliable routine laboratory tests for detection of latent coagulation disorders.

Blood Management in Total Knee Arthroplasty: A Nationwide Analysis from 2011 to 2018

2020 ◽  
Author(s):  
Jared A. Warren ◽  
John P. McLaughlin ◽  
Robert M. Molloy ◽  
Carlos A. Higuera ◽  
Jonathan L. Schaffer ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Platelet Count ◽  
Knee Arthroplasty ◽  
Categorical Variables ◽  
Bleeding Disorders ◽  
Blood Management ◽  
Improvement Program ◽  
Preoperative Anemia ◽  
High Incidence ◽  
Total Knee

AbstractBoth advances in perioperative blood management, anesthesia, and surgical technique have improved transfusion rates following primary total knee arthroplasty (TKA), and have driven substantial change in preoperative blood ordering protocols. Therefore, blood management in TKA has seen substantial changes with the implementation of preoperative screening, patient optimization, and intra- and postoperative advances. Thus, the purpose of this study was to examine changes in blood management in primary TKA, a nationwide sample, to assess gaps and opportunities. The American College of Surgeons National Surgical Quality Improvement Program database was used to identify TKA (n = 337,160) cases from 2011 to 2018. The following variables examined, such as preoperative hematocrit (HCT), anemia (HCT <35.5% for females and <38.5% for males), platelet count, thrombocytopenia (platelet count < 150,000/µL), international normalized ration (INR), INR > 2.0, bleeding disorders, preoperative, and postoperative transfusions. Analysis of variances were used to examine changes in continuous variables, and Chi-squared tests were used for categorical variables. There was a substantial decrease in postoperative transfusions from high of 18.3% in 2011 to a low of 1.0% in 2018, (p < 0.001), as well as in preoperative anemia from a high of 13.3% in 2011 to a low of 9.5% in 2016 to 2017 (p < 0.001). There were statistically significant, but clinically irrelevant changes in the other variables examined. There was a HCT high of 41.2 in 2016 and a low of 40.4 in 2011 to 2012 (p < 0.001). There was platelet count high of 247,400 in 2018 and a low of 242,700 in 201 (p < 0.001). There was a high incidence of thrombocytopenia of 5.2% in 2017 and a low of low of 4.4% in 2018 (p < 0.001). There was a high INR of 1.037 in 2011 and a low of 1.021 in 2013 (p < 0.001). There was a high incidence of INR >2.0 of 1.0% in 2012 to 2015 and a low of 0.8% in 2016 to 2018 (p = 0.027). There was a high incidence of bleeding disorders of 2.9% in 2013 and a low of 1.8% in 2017 to 2018 (p < 0.001). There was a high incidence of preoperative transfusions of 0.1% in 2011 to 2014 and a low of <0.1% in 2015 to 2018 (p = 0.021). From 2011 to 2018, there has been substantial decreases in patients receiving postoperative transfusions after primary TKA. Similarly, although a decrease in patients with anemia was seen, there remains 1 out 10 patients with preoperative anemia, highlighting the opportunity to further improve and address this potentially modifiable risk factor before surgery. These findings may reflect changes during TKA patient selection, optimization, or management, and emphasizes the need to further advance multimodal approaches for perioperative blood management of TKA patients. This is a Level III study.

Evaluation of Individualized Physiotherapy in Pediatric Patients with Severe Bleeding Disorders

2020 ◽  
Author(s):  
Elisabeth Kahre ◽  
Tina Adelhardt ◽  
Claudia Nitze ◽  
Ursula Range ◽  
Sylvia von Mackensen ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Severe Bleeding ◽  
Bleeding Disorders

EPISIOTOMY : A CHALLENGING OBSTETRIC INTERVENTION

2003 ◽  
Vol 42 (145) ◽  
pp. 54-58
Author(s):  
D S Malla
Keyword(s):  
Blood Loss ◽  
Pelvic Floor ◽  
Anal Sphincter ◽  
Intracranial Haemorrhage ◽  
Perineal Tear ◽  
Obstetric Intervention ◽  
Anal Sphincter Damage

ABSTRACTThe professional literatures on the development of widely practiced procedure, episiotomy through theyears from the first publication in 1742 are reviewed. It reveals the change in number of publication as wellas the contributors to the development of perception about episiotomy. So it consisted expression of opinionof doctors initially then the co-workers like nurses and researchers and clients or consumers themselvestoo. It concludes that episiotomies prevent anterior perineal tear but fails to accomplish other benefitstraditionally ascribed to pelvic floor damage and relaxation including its sequel and also protection ofnewboin from intracranial haemorrhage and intrapartum asphyxia. Episiotomy substantially increasematernal blood loss during delivery and risk of anal sphincter damage with their long term morbidity.There is an urgent need to restrict the use of episiotomy in vaginal delivery.Key Words: Episiotomy, Perineal tear, anal sphincter damage.

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