[Haemostatic testing prior to elective surgery? Yes!]. / Laboranalytischer Ausschluss einer hämorrhagischen Diathese vor elektiven Eingriffen? Ja!
Hamostaseologie
; 29(1): 58-63, 2009 Jan.
Article
en De
| MEDLINE
| ID: mdl-19151848
ABSTRACT
Haemorrhagic disorders must be excluded prior to any operation or other invasive procedure that has the potential to involve serious bleeding. When assessing the individual risk of bleeding, screening tests of hemostasis must be combined with the patient's clinical history and symptoms, and any history of bleeding must be explored under direct medical supervision using a standardized questionnaire. However, this bleeding history is neither very specific, nor is it particularly sensitive. Screening tests that have been found to be useful include platelet count, activated partial thrombo plastin time (aPTT), prothrombin time (PT) and clottable fibrinogen. No reliable, sensitive and specific screening test is however available today to screen for platelet dysfunction or von Willebrand disease. A specialized coagulation laboratory should be involved when the bleeding history or laboratory screening indicate a potential haemorrhagic disorder.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cuidados Preoperatorios
/
Procedimientos Quirúrgicos Electivos
/
Hemostasis
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
Idioma:
De
Revista:
Hamostaseologie
Año:
2009
Tipo del documento:
Article