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Hemostasis in cardiac surgery

  • 262 Pages
  • 3.12 MB
  • 4268 Downloads
  • English

Futura Pub. , Armonk, NY
Heart -- Surgery -- Physiological aspects., Hemostasis., Blood -- Coagulation., Blood coagulation disorders -- Treatment., Blood -- Transfusion., Cardiac Surgical Procedures., Cardiopulmonary Bypass -- adverse effects., Hemostasis., Blood Preservation., Blood Coagulation Disor
Statementedited by Safuh Attar.
ContributionsAttar, Safuh.
Classifications
LC ClassificationsRD598 .H436 1999
The Physical Object
Paginationx, 262 p. :
ID Numbers
Open LibraryOL371101M
ISBN 100879934107
LC Control Number98031869
OCLC/WorldCa40251407

The impetus for writing this book is the widespread interest of surgeons, anesthesiologists, patients, and the public at large in the utilization of blood transfusions, the risks involved, especially immunodeficiency syndrome and hepatitis C, the alternatives to the use of blood transfusions, and the increasing number of lawsuits brought against blood banks and cardiac surgeons.

The Book is organized into four sections. Intraoperative diagnosis and therapy of hemostasis abnormalities with cardiac surgery-- Ch. Aprotinin as an adjunct to blood conservation in open heart surgery-- Ch.

Pharmacological agents in perioperative bleeding-- Ch. Blood substitutes-- Ch. Hemostasis in heart transplantation-- Ch. This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery.

All aspects of patient blood management are Hemostasis in cardiac surgery book that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery.

Additional Physical Format: Online version: Effective hemostasis in cardiac surgery. Philadelphia: W.B. Saunders Co., (OCoLC) Online version. Hemostasis in cardiac surgery is still a sev ere problem for surg eons. Blood and Blood and its prod ucts are the most valuable at the same time dan gerous arms of surgeons.

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Journal of Cardiothoracic Surgery () DOI /s without any further preparation. In order to obtain hemostasis it can be applied directly onto a bleeding wound. The hemostatic effect results from rapid dehy-dration and subsequent concentration of blood compo-nents like red blood cells, platelets and serum proteinsFile Size: 2MB.

Core topics in cardiothoracic critical care, such as hemodynamic instability, arrhythmias, bleeding, and mechanical cardiac support, are afforded broad coverage.

Description Hemostasis in cardiac surgery PDF

Also included are sections on advanced ventilatory techniques and veno-venous ECMO for treating severe respiratory failure, as well as nutritional support, treating and preventing.

Anticoagulation and Hemostasis in Cardiac Surgical Patients. Optimizing anticoagulation and hemostasis during cardiopulmonary bypass and perioperatively helps to ensure the best possible clinical outcome. warfarin, and direct thrombin inhibitors.

Their use is discussed in the context of coronary artery surgery, valvular surgery, and Cited by: 4. Revision of surgery due to bleeding has to be performed in 2% to 6% of patients undergoing cardiac surgery and is generally associated with a marked deterioration in prognosis.

Factors contributing to Hemostasis in cardiac surgery book hemostatic abnormalities in cardiac surgery include the use of anticoagulants as well as the activation and consumption of coagulation Cited by:   A further main issue of hemostasis POC testing in cardiac surgery is the inadequate quality control (QC) of methods and equipment.

Medical and laboratory instrumentation is enrolled in a quality assurance program adequate in maintaining accurate Cited by: Hemostasis in Cardiac Surgery.S.

Attar, ed. Armonk, NY: Futura Press, ISBNpp, $ A comprehensive reference, this text is well organized and complete. Its content includes the entire range of hematologic issues that confront clinicians caring for cardiac surgical patients.

Monitoring of hemostasis disorders in cardiac surgery Milan Lazarević et al. One of the most difficult tasks in cardiac sur-gery is the establishment of timely, physiological hemostasis. Bleeding usually occurs during and after cardiac surgery. HEMOSTASIS IN CARDIAC SURGERY.

Intraoperative Bleeding in Cardiac Surgery: Operative Hemostasis is paramount. Bleeding Post Cardiac Surgery: Acceptable rates of bleeding before surgical intervention may vary between surgeons, but are usually 2ml/kg/hr for the first 2 hours, 1ml/kh/hr for the next 3 hours and less than ml/kg/hr by Aprotinin is effective in promoting hemostasis, notably in cardiac surgery with cardiopulmonary bypass.

Details Hemostasis in cardiac surgery EPUB

Its efficacy has been shown in coronary bypass graft operations. Since femoral access is still the most widely used technique in the United States, I thought it would be helpful to review the basics of access and hemostasis.

A complete discussion of vascular access methods for cardiac cath is provided in The Cardiac Catheterization Handbook, 5th edition.

The starting point: anatomic localization. in cardiac surgery The multipple electrode aggregometry (MEA) ADP test in patients under thienopyridine (ticlopidine or clopidogrel) undergoing cardiac surgery is associated with postoperative bleeding and platelets transfusion MEA provides en accurate preoperative prediction of File Size: 1MB.

Background: A recent retrospective comparative effectiveness study found that use of the FLOSEAL. Hemostatic Matrix in cardiac surgery was associated with significantly lower risks of complications, blood transfusions, surgical revisions, and shorter length of surgery than use of SURGIFLO Hemostatic.

Matrix. Perioperative Bleeding in Cardiac Surgery Cardiac surgery induces abnormalities of primary and d h t i lti fd secondary hemostasis resulting from • Blood contact with nonendothelial surfaces of the extracorporeal circuit • Release of TF (tissue factor) after surgical trauma • Reinfusion of TF and activated coagulation factors.

Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood.

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Free Shipping by Amazon Fast Facts for the Cardiac Surgery Nurse, Third Edition: Caring for Cardiac Surgery Patients. by Tanya Hodge MS. Effective haemostasis during cardiac surgery. Hémostase réussie en chirurgie cardiaque. Jobes DR, Ellison N. 13, Effective hemostasis in the cardiac surgical : Ellison N, Jobes DR (Eds.).

Effective Hemostasis In Cardiac Surgery, WB Saunders, – Cited by: 2. This chapter reviews the current understanding of the hemostatic process, the pathophysiologic effects of cardiopulmonary bypass (CPB) on coagulation, methods of monitoring coagulation during CPB, and pharmacologic approaches to limit hemorrhage after cardiac surgery.

Furthermore, the iCoagLab and TEG MA and α-angle were also significantly modulated by surgery (phemostasis using a drop of blood, likely opening the unique opportunity for multifunctional coagulation monitoring at the point-of care during cardiac : Diane M.

Tshikudi, Alexandra G. Wirth, Michael N. Andrawes, Seemantini K. Nadkarni. Hemostasis in cardiac surgery is still a severe problem for surgeons. Blood and its products are the most valuable at the same time dangerous arms of surgeons. Industries produced many biological or non-biological products, which increase the cost of operations, are available for this : Fevzi Sarper Türker.

Transfusion and Hemostasis in Cardiac Surgery–An Update. Free Access. Transfusion and hemostasis in cardiac surgery. Jerrold H. Levy MD; George J. Despotis MD; Pages: 1S; First Published: 21 February ; Full text PDF; Request permissions. This review focuses on the physiology of the normal coagulation and fibrinolysis, risk factors associated with patients presenting for cardiac surgery, impairments of normal hemostasis associated with cardiac surgery and cardiopulmonary bypass (CPB), and potential interventions to reduce perioperative blood loss and blood by: 6.

Conventional laboratory analyses in cardiac surgery include activated partial thromboplastin time (aPTT), International Normalization Ratio (INR), platelet count, and fibrinogen concentration.

POC tests improve the quality of coagulopathy management, decrease costs, and reduce time to around 10 to 15 by: 1. • Desmopressin acetate (1-deaminoD-arginine vasopressin [DDAVP]) improves hemostasis in hemophilia A and von Willebrand's disease and in some platelet disorders.

In complex cardiac operations, excluding simple coronary artery bypass graft procedures, we found that desmopressin reduced blood loss by 40% and the need for transfusion by 34%.Cited by: Postoperative hemorrhage, redo sternotomy for bleeding, and transfusion of blood products are all associated with poorer outcomes in cardiac surgery.

Topical hemostatic agents are important adjuncts to reduce blood loss after cardiac surgery and can have a role in reducing both “surgical” and “nonsurgical bleeding.” There are many topical hemostatic agents to choose from, and with Cited by: Long established as the #1 reference on pediatric cardiac anesthesia, this definitive text is now in its thoroughly revised Fourth Edition.

The book provides comprehensive guidelines on preoperative evaluation, perioperative management, and postoperative care for all pediatric cardiac surgical procedures and includes quick-reference summaries of perioperative management for each procedure.5/5(1).

Pathophysiology of Hemostasis Abnormalities with Cardiac Surgery. Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB)1 are at increased risk for excessive perioperative blood loss requiring transfusion of blood products.

This risk is dependent on the type of procedure ()() and the duration of CPB ()().Although excessive perioperative bleeding with CPB may Cited by:   During the last decade many aspects of haemostasis and coagulation management greatly changed in cardiac surgery.

On one side, new anti-platelet agents entered the market and became more and more widely used; on the other one, point-of-care monitoring tools are nowadays available for perioperative by: Hemostasis during and after cardiac surgery begins with surgical control of active bleeding sites.

Unfortunately, control of bleeding in cardiac surgery is far more complicated than the mere application of suture to a bleeding vessel.