Coagulation Management Strategies in Cardiac Surgery

Coagulation Management Strategies in Cardiac Surgery Curr Anesthesiol Rep (2017) 7:265–272 DOI 10.1007/s40140-017-0220-y CARDIOVASCULAR ANESTHESIA (J FASSL, SECTION EDITOR) 1 2 Daniel Bolliger & Kenichi A. Tanaka Published online: 27 June 2017 Springer Science+Business Media, LLC 2017 Abstract reduce complications secondary to hemodynamic instability, Purpose of the Review Postoperative hemorrhage remains a prolonged mechanical ventilation, and transfusion of large clinically important problem after major cardiac surgery. This amounts of allogeneic blood products. review focuses on the current evidence and emerging data . . relating to modern strategies in coagulation management in Keywords Cardiac surgery Coagulopathy Blood . . bleeding patients after cardiac surgery. component transfusion Coagulation management Recent Findings The use of standard laboratory coagulation Coagulation testing tests including prothrombin time and activated partial throm- boplastin time is limited by long turn-around time, and ques- tionable sensitivity and specificity in major bleeding. Point-of- Introduction care coagulation testing including thromboelastometry and thromboelastography has been shown to reduce allogeneic Approximately 5–15% of major cardiac surgical patients with blood product usage, and potentially morbidity. cardiopulmonary bypass (CPB) suffer from postoperative Perioperative coagulation therapy includes the transfusion of hemorrhage [1–3]. Definitions of major hemorrhage and mas- platelet concentrates or plasma products and the infusion of sive transfusion have been Current Anesthesiology Reports Springer Journals

Coagulation Management Strategies in Cardiac Surgery

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Copyright © 2017 by Springer Science+Business Media, LLC
Medicine & Public Health; Anesthesiology
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