Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-28T13:47:15.978Z Has data issue: false hasContentIssue false

Chapter 35 - Coagulation

Published online by Cambridge University Press:  24 May 2023

Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
Get access

Summary

Understanding of coagulation and coagulopathy is essential to the practice of anesthesia. This begins with preoperative assessment and planning. A detailed history is the first step. Laboratory testing can reveal abnormalities that may have otherwise gone undetected, as many disorders are asymptomatic until unmasked by the stress of surgery. Some of these disorders may be inherited or acquired, and their presentation and treatment must be considered. Intimate familiarity of this topic allows the anesthesiologist to adequately prepare for coagulopathy and thrombotic events in the perioperative environment.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Nguyen, A, DasGupta, A, Wahed, A, Cruz, MI. Management of Hemostasis and Coagulopathies for Surgical and Critically Ill Patients: An Evidence-Based Approach. Amsterdam: Elsevier; 2017.Google Scholar
Kitchens, CS, Kessler, CM, Konkle, BA, Garcia, DA. Consultative Hemostasis and Thrombosis, 4th ed. Philadelphia, PA:Elsevier; 2019.Google Scholar
Luddington, RJ. Thrombelastography/thromboelastometry. Clin Lab Haematol. 2005;27(2):8190.CrossRefGoogle ScholarPubMed
Wikkelsø, A, Wetterslev, J, Møller, AM, Afshari, A. Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care in adults or children with bleeding. Cochrane Database Syst Rev. 2016;8:CD007871.Google Scholar
Mallett, SV. Clinical utility of viscoelastic tests of coagulation (TEG/ROTEM) in patients with liver disease and during liver transplantation. Semin Thromb Hemost. 2015;41(5):527–37.Google Scholar
Mackman, N, Tilley, RE, Key, NS. Role of extrinsic pathway of blood coagulation in hemostasis and thrombosis. Arterioscleros Thromb Vasc Biol. 2007;27:1687–93.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×