Preoperative hemostatic evaluation
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ortadogu Ad Pres & Publ Co
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Surgical patients may develop hemostatic disorders ranging from unexpected bleeding to pathologic thrombosis, both of which may be potentially life threatening. As surgery is the ultimate test of the hemostatic system, underlying defects of hemostasis may remain asymptomatic and cause excessive, unexpected bleeding during surgery. Therefore, it is desired to know which patient is prone to hemorrhagic complications before surgical procedure. Preoperative evaluation of hemostatic risk includes a carefully taken medical history, physical examination, type and indication of surgery, and targeted laboratory investigations. Obtaining an adequate bleeding history is still of central importance and must include a thorough review of any bleeding episodes, information on the use of current or recent medications affecting hemostasis as well as careful attention to the family history. Physical examination should focus on evidence of bleeding and on identifying systemic disorders like renal and hepatic disease, which are known to increase the bleeding risk of any patient. In the absence of historical risk factors or physical examination findings suggestive of an underlying bleeding tendency, the likelihood of a clinically significant coagulopaty is low. Therefore, the spectrum of preoperative laboratory screening should be based on the results of clinical assessment. A comprehensive and logical preoperative evaluation of hemostasis will minimize bleeding complications. This strategy will also prevent unnecessary, time and money consuming, and occasionally confusing global laboratory investigations of hemostasis. This article focuses on preoperative evaluation of hemostatic risk and laboratory tests used for this purpose.
Açıklama
Anahtar Kelimeler
Surgery, Hemostasis, Hemorrhage, Risk, Bleeding-Time, Management, Tests
Kaynak
Turkiye Klinikleri Tip Bilimleri Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
28
Sayı
3
