Blood bag prepared for transfusion, illustrating the importance of patient blood management in pediatric spine surgery / Wikimedia Commons and ICSident
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If you’ve ever been elbows-deep in a pediatric spinal deformity correction thinking, “We are rapidly running out of hemoglobin here,” you’re not alone. Kids show up to spine surgery with two things that keep anesthesiologists up at night—preexisting anemia and a charming tendency to bleed like it’s their job.

But fear not, because a new review in the Journal of the American Academy of Orthopaedic Surgeons (August 1, 2025) lays out a compelling roadmap to keep the red stuff where it belongs.


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