This site is intended for healthcare professionals
Journals
  • Home
  • /
  • Journals
  • /
  • Coagulation and haemorrhagic disorders
  • /
  • Perioperative Coagulopathy, Bleeding, and Hemostas...
Journal

Perioperative Coagulopathy, Bleeding, and Hemostasis During Cardiac Surgery: A Comprehensive Review

Read time: 1 mins
Published:1st Jan 2010
Author: Makar M, Taylor J, Zhao M, Farrohi A, Trimming M, D'Attellis N.
Source: ICU Director
Availability: Pay for access, or by subscription
Ref.:ICU Director. 2010;1:17�27.
DOI:10.1177/1944451609357759
Perioperative Coagulopathy, Bleeding, and Hemostasis During Cardiac Surgery: A Comprehensive Review


Cardiac surgery patients use 10%-25% of the blood products transfused annually in the United States. The transfusion of red blood cells or blood products has been the subject of intense scrutiny over the past 10 years. Bleeding after cardiac surgery can be surgical or nonsurgical and lead to hemodynamic compromise and surgical reexploration. Because hemorrhage and blood product transfusions are associated with multiple negative outcomes, including increased mortality, it is prudent to understand the mechanisms responsible for nonsurgical bleeding.

This review focuses on the physiology of the normal coagulation and fibrinolysis, risk factors associated with patients presenting for cardiac surgery, impairments of normal hemostasis associated with cardiac surgery and cardiopulmonary bypass (CPB), and potential interventions to reduce perioperative blood loss and blood transfusion.

 

Access full article