When a post-operative patient bleeds, the first consideration is whether further surgical or trans-vascular intervention is required. Hypothermia, acidosis and hypocalcaemia must be corrected. The cause of a systemic coagulopathy is best identified through thromboelastography and addressed as indicated by either platelet or fresh frozen plasma (FFP) transfusion. Hyperfibrinolysis is treated with an antifibrinolytic and fibrinogen. Recombinant activated factor VII (rFVIIa) should not be used until these measures have been taken.
|Title of host publication||Haematology in Critical Care|
|Subtitle of host publication||A Practical Handbook|
|Editors||Jecko Thachil, Quentin A. Hill|
|Number of pages||4|
|Publication status||Published - 9 May 2014|