Coagulopathy and transfusion therapy in pediatric liver transplantation

Table 6 Measures to reduce bleeding complications and transfusions during liver transplantation

Surgical phase	Procedure
Pre-operative	Erythropoietin
	Supplemental iron and folic acid
Intraoperative	Low CVP (fluid restriction, phlebotomy, vasopressors, Pringle maneuver)
	Acute intraoperative hemodilution
	Low transfusional trigger
	Drugs (rFVIIa, antifibrinolytics)
	Blood salvage
	Surgical technique
	TEG/ROTEM
Postoperative	Low transfusional trigger
	Minimize blood sampling
	Erythropoietin
	Supplemental iron and folic acid

CVP: Central venous pressure; rFVIIa: Activated recombinant factor VII; TEG: Thromboelastogram; ROTEM: Rotational thromboelastogram.