Bleeding perioperative bleeding monitoring of coagulation status and platelet function: Difference between revisions
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Revision as of 14:29, 24 April 2014
Bleeding Microchapters |
Treatment |
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Reversal of Anticoagulation and Antiplatelet in Active Bleed |
Perioperative Bleeding |
Bleeding perioperative bleeding monitoring of coagulation status and platelet function On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
2013 ESA Guidelines for the Management of Severe Perioperative Bleeding (DO NOT EDIT)[1]
Evaluation of Coagulation Status
Class 1 |
"1. We recommend the use of a structured patient interview or questionnaire before surgery or invasive procedures, which considers clinical and family bleeding history and detailed information on the patient’s medication. (Level of Evidence: C) " |
"2. We recommend the use of standardized questionnaires on bleeding and drug history as preferable to the routine use of conventional coagulation screening tests such as aPTT, PT and platelet count in elective surgery. (Level of Evidence: C) " |
"3. We recommend the application of transfusion algorithms incorporating predefined intervention triggers to guide hemostatic intervention during intraoperative bleeding. (Level of Evidence: B) " |
"4. We recommend the application of transfusion algorithms incorporating predefined intervention triggers based on point-of-care (POC) coagulation monitoring assays to guide hemostatic intervention during cardiovascular surgery. (Level of Evidence: C) " |
Evaluation of Platelet Function
Class 2 |
"1. We suggest preoperative platelet function testing only in addition to a positive bleeding anamnesis. (Level of Evidence: C) " |
"2. We suggest that preoperative platelet function testing be used to identify decreased platelet function caused by medical conditions and antiplatelet medication. (Level of Evidence: C) " |
Sources
- 2013 ESA Guidelines for the Management of Severe Perioperative Bleeding[1]
References
- ↑ 1.0 1.1 Kozek-Langenecker, SA.; Afshari, A.; Albaladejo, P.; Santullano, CA.; De Robertis, E.; Filipescu, DC.; Fries, D.; Görlinger, K.; Haas, T. (2013). "Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology". Eur J Anaesthesiol. 30 (6): 270–382. doi:10.1097/EJA.0b013e32835f4d5b. PMID 23656742. Unknown parameter
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