دورية أكاديمية
Intraoperative Hemostatic Management of a Cardiohepatic Transplant With Rotational Thromboelastometry: A Case Report.
| العنوان: | Intraoperative Hemostatic Management of a Cardiohepatic Transplant With Rotational Thromboelastometry: A Case Report. |
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| المؤلفون: | Kataife ED; From the Department of Anesthesia, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina., Adrover A, Viso HD, Mileo FG |
| المصدر: | A&A practice [A A Pract] 2020 Dec; Vol. 14 (14), pp. e01358. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101714112 Publication Model: Print Cited Medium: Internet ISSN: 2575-3126 (Electronic) Linking ISSN: 25753126 NLM ISO Abbreviation: A A Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Philadelphia, PA] : Wolters Kluwer Health, Inc., [2018]- |
| مواضيع طبية MeSH: | Blood Coagulation Disorders* , Hemostatics*/therapeutic use, Blood Coagulation ; Fibrinogen ; Humans ; Male ; Middle Aged ; Thrombelastography |
| مستخلص: | Cardiohepatic transplantation represents a double hemostatic challenge. Given the absence of specific guidelines and current evidence, we designed a 5-step approach based on rotational thromboelastometry (ROTEM). A 60-year-old male patient with cirrhosis and myocarditis underwent a 9-hour transplantation. Bleeding occurred after weaning from extracorporeal circulation. Evidence of reduced clot strength triggered fibrinogen and platelet replacement therapy. During liver transplant, only hemoglobin optimization was necessary. In conclusion, hemostatic management protocols for cardiohepatic transplants should consider the specific coagulopathy mechanisms underlying each surgical phase. Because whole blood testing is essential for their diagnosis, we recommend using ROTEM for optimal coagulation management. |
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| المشرفين على المادة: | 0 (Hemostatics) 9001-32-5 (Fibrinogen) |
| تواريخ الأحداث: | Date Created: 20201209 Date Completed: 20210728 Latest Revision: 20210728 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1213/XAA.0000000000001358 |
| PMID: | 33295743 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2575-3126 |
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| DOI: | 10.1213/XAA.0000000000001358 |