{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T21:26:58Z","timestamp":1760909218704,"version":"3.37.3"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background We aimed to reduce blood loss in the pediatric critical care\n                    unit (PICU) due to blood sampling in neonates and infants. Therefore, an\n                    educational program for our staff was established and evaluated.<\/jats:p><jats:p>\n                    Methods Patients in a PICU of a tertiary referral center aged\n                    0\u201312 months who underwent surgery of congenital heart disease on\n                    cardiopulmonary bypass were enrolled and divided into a pre- and a\n                    post-implementation group. We assessed frequency and types of postoperative\n                    blood samples, required blood volume, and amount of blood transfusions in the\n                    PICU within 5 days after cardiac surgery.<\/jats:p><jats:p>\n                    Results Populations were similar prior and after the implementation.\n                    Blood drawn for blood gas analysis (0,52\u2009ml\u00b10,16 vs.\n                    0,38\u2009ml\u00b10,12, p&lt;0,001) and for complete blood sampling\n                    (2,62\u2009ml\u00b10,32 vs. 2,11\u2009ml\u00b10,35, p&lt;0,001)\n                    could be successfully reduced after implementation of our blood-saving program.\n                    The daily diagnostic blood loss per patient was significantly reduced by\n                    approximately 35% (1,7\u2009ml\/kg\/d\u00b11,0 vs.\n                    1,1\u2009ml\/kg\/d\u00b10,7, p=0,008).<\/jats:p><jats:p>\n                    Discussion Our quality improvement program is feasible and effective to\n                    significantly reduce the blood loss due to blood sampling. Although the\n                    incidence of red blood cell transfusions was not significantly reduced, it is\n                    certainly beneficial to try to reduce diagnostic blood loss, especially in\n                    children with complex diseases requiring long-term intensive care treatment.<\/jats:p><jats:p>\n                    Conclusion We could demonstrate that it is possible to significantly\n                    reduce the blood loss due to blood sampling with a simple educational program\n                    for PICU staff.<\/jats:p>","DOI":"10.1055\/a-1123-7809","type":"journal-article","created":{"date-parts":[[2020,3,10]],"date-time":"2020-03-10T23:58:28Z","timestamp":1583884708000},"page":"197-202","source":"Crossref","is-referenced-by-count":4,"title":["Implementation of a Blood-Saving Program in a Pediatric Intensive\n                    Care Unit to Reduce Diagnostic Blood Loss"],"prefix":"10.1055","volume":"232","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8376-4724","authenticated-orcid":false,"given":"J\u00f6rg","family":"Michel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Pulmology and Pediatric Intensive\n                    Care Medicine, University Children\u2019s Hospital T\u00fcbingen,\n                    T\u00fcbingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hofbeck","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Pulmology and Pediatric Intensive\n                    Care Medicine, University Children\u2019s Hospital T\u00fcbingen,\n                    T\u00fcbingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judit Vinuales","family":"Balcells","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Pulmology and Pediatric Intensive\n                    Care Medicine, University Children\u2019s Hospital T\u00fcbingen,\n                    T\u00fcbingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Kumpf","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Pulmology and Pediatric Intensive\n                    Care Medicine, University Children\u2019s Hospital T\u00fcbingen,\n                    T\u00fcbingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Neunhoeffer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Pulmology and Pediatric Intensive\n                    Care Medicine, University Children\u2019s Hospital T\u00fcbingen,\n                    T\u00fcbingen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,3,10]]},"container-title":["Klinische P\u00e4diatrie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1123-7809.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T22:36:11Z","timestamp":1594679771000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1123-7809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,10]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2020,7,13]]},"published-print":{"date-parts":[[2020,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1123-7809","relation":{},"ISSN":["0300-8630","1439-3824"],"issn-type":[{"type":"print","value":"0300-8630"},{"type":"electronic","value":"1439-3824"}],"subject":[],"published":{"date-parts":[[2020,3,10]]}}}