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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2018
Review Case Reports[Coagulation Monitoring and Bleeding Management in Cardiac Surgery].
- Berthold Bein and Robert Schiewe.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2018 May 1; 53 (5): 364-379.
AbstractThe transfusion of allogeneic blood products is associated with increased morbidity and mortality. An impaired hemostasis is frequently found in patients undergoing cardiac surgery and may in turn cause bleeding and transfusions. A goal directed coagulation management addressing the often complex coagulation disorders needs sophisticated diagnostics. This may improve both patients' outcome and costs. Recent data suggest that coagulation management based on a rational algorithm is more effective than traditional therapy based on conventional laboratory variables such as PT and INR. Platelet inhibitors, cumarins, direct oral anticoagulants and heparin need different diagnostic and therapeutic approaches. An algorithm specifically developed for use during cardiac surgery is presented.Georg Thieme Verlag KG Stuttgart · New York.
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