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from Section 3.10 - Haematological and Oncological Disorders
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Abnormal coagulation results are not uncommon in critically unwell patients.
2. In vitro tests do not always fully correlate with events in vivo, and so all results should be interpreted with reference to the clinical history, particularly any bleeding or thrombosis history.
3. The clinical severity of disseminated intravascular coagulation may not necessarily correlate with abnormalities seen in the laboratory tests, and an individualised plan should be made depending on the clinical scenario.
4. Patients with cirrhosis are at risk of thrombosis, as well as bleeding.
5. In a stable, non-bleeding patient with liver disease, there is no need for ‘prophylactic’ blood components unless procedures are required.
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