{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:00:36Z","timestamp":1740175236632,"version":"3.37.3"},"reference-count":22,"publisher":"The Korean Society of Anesthesiologists","issue":"2","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2021,4,30]]},"abstract":"<jats:p>Background: Cranioplasty for the treatment of cephalhematomas in small infants with limited blood volume is challenging because of massive bleeding. This study aimed to elucidate the correlation between cephalhematoma size and intraoperative blood loss and identify criteria that can predict large intraoperative blood loss.Methods: We reviewed the medical records of 120 pediatric patients aged less than 24 months who underwent cranioplasty for treatment of a cephalhematoma. The cephalhematoma sizes in preoperative brain computed tomography (CT) were measured using ImageJ. Results: Pearson correlation showed that the cephalhematoma size in the pre-operative brain CT was weakly correlated with intraoperative blood loss (Pearson coefficient = 0.192, P = 0.037). In a multivariable logistic regression analysis, a cephalhematoma size greater than 113.5 cm3 was found to be a risk factor for large blood loss. The area under the curve in the receiver operating characteristic plot of the multivariable model was 0.714 (0.619\u20130.809).Conclusions: A cephalhematoma size cutoff value of 113.5 cm3, as measured in the preoperative CT imaging, can predict intraoperative blood loss exceeding 30% of the total body blood volume. The establishment of a transfusion strategy prior to surgery based on cephalhematoma size could be useful in pediatric cranioplasty.<\/jats:p>","DOI":"10.17085\/apm.20069","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T06:56:05Z","timestamp":1618469765000},"page":"151-157","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative cephalhematoma size measured with computed tomography predicts intraoperative bleeding in pediatric patients undergoing cranioplasty"],"prefix":"10.17085","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2127-6324","authenticated-orcid":true,"given":"Seung Hyun","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3299-4500","authenticated-orcid":true,"given":"Kyeong Tae","family":"Min","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8777-3457","authenticated-orcid":true,"given":"Eun Kyung","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7759-4458","authenticated-orcid":true,"given":"Hyungjin","family":"Rhee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6608-5324","authenticated-orcid":true,"given":"Hyukjin","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8442-4406","authenticated-orcid":true,"given":"Seung Ho","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2573","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.08.024"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200409000-00015"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/scs.0b013e318266893c"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1159\/000108793"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.06.006"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12416"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2009.03140.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000268712.00756.dd"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1038\/nmeth.2089"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9197-x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2508"},{"key":"ref12","first-page":"421","volume-title":"Red blood cell transfusion threshold in postsurgical pediatric intensive care patients: a randomized clinical trial","author":"Rouette","year":"2010"},{"key":"ref13","first-page":"649","volume-title":"TRIPICU investigators; Canadian Critical Care Trials Group; Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network. Comparison of two red-cell transfusion strategies after pediatric cardiac surgery: a subgroup analysis","author":"Willems","year":"2010"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2006.06355.x"},{"key":"ref15","first-page":"270","volume-title":"Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology","author":"Kozek-Langenecker","year":"2013"},{"volume-title":"","year":"2012","key":"ref16"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra1705649"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.12247"},{"key":"ref19","first-page":"373","volume-title":"Clinical review: hemorrhagic shock","author":"Gutierrez","year":"2004"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.05.022"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2010.03470.x"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1111\/pan.12600"}],"container-title":["Anesthesia and Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-20069.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.20069","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-20069.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T07:15:11Z","timestamp":1619766911000},"score":1,"resource":{"primary":{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.20069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,30]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"URL":"https:\/\/doi.org\/10.17085\/apm.20069","relation":{},"ISSN":["1975-5171","2383-7977"],"issn-type":[{"type":"print","value":"1975-5171"},{"type":"electronic","value":"2383-7977"}],"subject":[],"published":{"date-parts":[[2021,4,30]]},"assertion":[{"value":"2020-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}