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Bleeding and Thrombosis in Pediatric Cardiac Intensive Care

Giglia, Therese M. MD; Witmer, Char MD

doi: 10.1097/PCC.0000000000000814
Organ Systems: Other Organ Systems and Systemic Disorders
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Objectives: The objective of this article is to review the particular tendencies as well as specific concerns of bleeding and clotting in children with critical cardiac disease.

Data Source: MEDLINE and PubMed.

Conclusion: Children with critical heart disease are at particular risk for bleeding and clotting secondary to intrinsic as well as extrinsic factors. We hope that this review will aid the clinician in managing the unique challenges of bleeding and clotting in this patient population, and serve as a springboard for much needed research in this area.

1Department of Pediatrics, Section of Cardiology, Perelman School of Medicine at the University of Pennsylvania, Children’s Hospital of Philadelphia, Philadelphia, PA.

2Department of Pediatrics, Section of Hematology, Perelman School of Medicine at the University of Pennsylvania, Children’s Hospital of Philadelphia, Philadelphia, PA.

Dr. Giglia served as a board member (she was on the Board of Directors [until June 2015] of the Pediatric Cardiac Intensive Care Society but received no compensation). Her institution received grant support from the Children’s Hospital of Philadelphia Chair’s Initiative (Internal CHOP grant to the Division of Cardiology [7/13 to 7/15] to establish program for Thrombosis Prevention). Dr. Witmer disclosed that she does not have any potential conflicts of interest.

For information regarding this article, E-mail: gigliat@email.chop.edu

©2016The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies