The Use of Haemostatic Drugs in Post-Operative Bleeding

Catharina Hartman; Nigel Webster

doi:10.1002/9781118869147.ch29

The Use of Haemostatic Drugs in Post-Operative Bleeding

Catharina Hartman^*, Nigel Webster

^*Corresponding author for this work

Applied Medicine

Aberdeen Royal Infirmary

Research output: Chapter in Book/Report/Conference proceeding › Chapter

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 language	English
Title of host publication	Haematology in Critical Care
Subtitle of host publication	A Practical Handbook
Editors	Jecko Thachil, Quentin A. Hill
Publisher	Wiley-Blackwell
Pages	192-195
Number of pages	4
ISBN (Electronic)	9781118869147
ISBN (Print)	9781118274248
DOIs	https://doi.org/10.1002/9781118869147.ch29
Publication status	Published - 9 May 2014

Keywords

Antifibrinolytic
Calcium
FFP
Fibrinogen
Haemostatic
Hypothermia
Platelets
Post-operative
Thromboelastography

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AB - 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.

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KW - Calcium

KW - FFP

KW - Fibrinogen

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KW - Platelets

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ER -

The Use of Haemostatic Drugs in Post-Operative Bleeding

Abstract

Keywords

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