Neonatal trauma resuscitation: Successful use of low‐titer O+ whole blood in a 4‐day‐old infant with hemorrhagic shock
This case underscores the challenges of neonatal trauma resuscitation, including vascular access and the use of LTOWB+. LTOWB+ proved lifesaving, enabling rapid correction of acidosis and an improved outcome. Although concerns persist regarding LTOWB+ administration, the immediate survival benefits outweigh the risks, supported by evidence demonstrating its efficacy and safety. This case highlights the need for adaptability and a systematic approach to managing complex neonatal trauma scenarios. We argue that LTOWB+ is poised to become a pillar of pediatric resuscitation, providing a lifesaving, efficient, and safe option even in the newborn.
Authors
- Renee W. Green
- Bryan A. Cotton (ORCID: https://orcid.org/0000-0003-4184-6742)
Institutions
- The University of Texas Health Science Center at Houston (US)
Publication Details
- Journal
- Transfusion
- Published
- 2025-04-09
- DOI
- https://doi.org/10.1111/trf.18233
- Citations
- 1
- Primary Topic
- Cardiac Arrest and Resuscitation
- Type
- article
- Field-Weighted Citation Impact
- 2.25