Preoperative hemostatic evaluation: Scientific letter

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dc.authorscopusid7004457653
dc.authorscopusid15756259700
dc.contributor.authorDemir M.
dc.contributor.authorTekgündüz E.
dc.date.accessioned2024-06-12T10:28:37Z
dc.date.available2024-06-12T10:28:37Z
dc.date.issued2008
dc.description.abstractSurgical 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. Copyright © 2008 by Türkiye Klinikleri.en_US
dc.identifier.endpage368en_US
dc.identifier.issn1300-0292
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-46749144933en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage361en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17335
dc.identifier.volume28en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofTurkiye Klinikleri Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHemorrhage; Hemostasis; Risk; Surgeryen_US
dc.subjectBlood Clotting Factor; Anamnesis; Article; Bleeding; Blood Clotting Disorder; Family History; Hemostasis; Human; Kidney Disease; Laboratory Test; Liver Disease; Physical Examination; Preoperative Evaluation; Surgical Risk; Thrombosisen_US
dc.titlePreoperative hemostatic evaluation: Scientific letteren_US
dc.title.alternativeCerrahi i?şlem öncesi hemostatik de?erlendirmeen_US
dc.typeArticleen_US

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