[Basic algorithm for Point-of-Care based hemotherapy: perioperative treatment of coagulopathic patients]. / Basisalgorithmus für "Point-of-Care" basierte Hämotherapie : Perioperative Versorgung koagulopathischer Patienten.
Anaesthesist
; 62(6): 464-72, 2013 Jun.
Article
em De
| MEDLINE
| ID: mdl-23793973
ABSTRACT
During perioperative treatment of coagulopathic patients the so-called Point-of-Care (POC) analyses enable more rapidly available and more comprehensive hemostatic analyses compared to routinely performed conventional coagulation testing, such as activated partial thromboplastin time (aPTT), international normalized ratio (INR), fibrinogen concentration and platelet count. In this review article a hemotherapy algorithm is presented which is based on viscoelastic and aggregometric POC measurements. The algorithm was designed double sided and consists of a general and a special part. The general part contains boxes and fields for sociodemographic data and gives general recommendations for coagulation management and therapy specifications for particular patient collectives and presents proposals for emergency reversal of anticoagulation therapy. The special part refers to basic physiological conditions for hemostasis and asks for measurement results of clot initiation, clot firmness, clot stability and platelet function analyses. Reference values were defined for each parameter and therapeutic options are presented. In cases of persistent coagulopathy despite algorithm-conform therapy, the algorithm could be run through once again. Finally, the algorithm presents therapeutic options for an ultima ratio therapy approach.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos da Coagulação Sanguínea
/
Algoritmos
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Sistemas Automatizados de Assistência Junto ao Leito
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Assistência Perioperatória
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
De
Revista:
Anaesthesist
Ano de publicação:
2013
Tipo de documento:
Article
País de publicação:
ALEMANHA
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ALEMANIA
/
DE
/
DEUSTCHLAND
/
GERMANY