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Chapter 35 - Coagulation

Published online by Cambridge University Press:  24 May 2023

By
Kenneth Flax  and
Erica Fagelman
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
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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
Cambridge Handbook of Anesthesiology , pp. 521 - 531
Publisher: Cambridge University Press
Print publication year: 2023

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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):81–90.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

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