The Use of Haemostatic Drugs in Post-Operative Bleeding

Catharina Hartman*, Nigel Webster

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

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.

Original languageEnglish
Title of host publicationHaematology in Critical Care
Subtitle of host publicationA Practical Handbook
EditorsJecko Thachil, Quentin A. Hill
PublisherWiley-Blackwell
Pages192-195
Number of pages4
ISBN (Electronic)9781118869147
ISBN (Print)9781118274248
DOIs
Publication statusPublished - 9 May 2014

Keywords

  • Antifibrinolytic
  • Calcium
  • FFP
  • Fibrinogen
  • Haemostatic
  • Hypothermia
  • Platelets
  • Post-operative
  • Thromboelastography

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  • Cite this

    Hartman, C., & Webster, N. (2014). The Use of Haemostatic Drugs in Post-Operative Bleeding. In J. Thachil, & Q. A. Hill (Eds.), Haematology in Critical Care: A Practical Handbook (pp. 192-195). Wiley-Blackwell . https://doi.org/10.1002/9781118869147.ch29