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Optimal management of bleeding and transfusion in patients undergoing cardiac surgery.

TitleOptimal management of bleeding and transfusion in patients undergoing cardiac surgery.
Publication TypeJournal Article
Year of Publication1999
AuthorsDespotis GJ, Skubas NJ, Goodnough LT
JournalSemin Thorac Cardiovasc Surg
Volume11
Issue2
Pagination84-104
Date Published1999 Apr
ISSN1043-0679
KeywordsAlgorithms, Blood Coagulation Tests, Blood Transfusion, Cardiac Surgical Procedures, Deamino Arginine Vasopressin, Fibrinolysis, Hemostasis, Hemostasis, Surgical, Hemostatics, Humans, Point-of-Care Systems, Postoperative Hemorrhage, Risk Factors
Abstract

Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) are at increased risk for excessive perioperative blood loss requiring transfusion of blood products. Point-of-care evaluation of platelets, coagulation factors, and fibrinogen can enable physicians to rapidly assess bleeding abnormalities, facilitate the optimal administration of pharmacological and transfusion-based therapy, and also identify patients with surgical bleeding. The ability to reduce the unnecessary use of blood products in this setting has important implications for emerging issues in blood inventory and blood costs. The ability to decrease surgical time, along with exploration rates, has important consequences for health care costs in an increasingly managed health care environment.

Alternate JournalSemin. Thorac. Cardiovasc. Surg.
PubMed ID10378853