Surgical coagulation products
[DOC File]Pharmacy Benefits Management Services Home
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May 03, 2011 · Primary Outcome: Surgical blood loss, blood volume expansion from colloids and effect on coagulation using ROTEM was assessed. *Unclear the hierarchy of the endpoints. N=84 randomized, 78 included in final analysis (HES 130/0.4=22, Dextran 70 6%=18, other colloids not available in US but had 18 and 20 in those groups.
[DOCX File]ICU SEDATION GUIDELINES
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Treatment in trauma therefore involves surgical repair, improvement of shock and rapid replacement of platelet, FFP and depleted coagulation factors, but also provides a physiologic paradigm for how administration of antifibrinolytic agent (tranexamic acid) may reduce the risk of death in bleeding trauma patients with DIC (11).
[DOC File]cpb-us-e1.wpmucdn.com
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The surgical community at large uses PT indiscriminately to evaluate coagulopathy; a more qualitative thromboelastogram would provide more information and justify the appropriate use of coagulation products.[3] With the community now more aware of the risks of transmission of diseases, [4] albeit low, a general caution in the patient's mind ...
[DOC File]EVIDENCE-BASED PRACTICE PROTOCOL
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Surgical procedures, indwelling vascular catheters (causing both . coagulation changes . and . vessel wall damage) Lifestyles: Cigarette smoking (causing . coagulation changes. ... Herbal products may include ingredients that contain coumarin, inhibit platelet activity, or inhibit platelet aggregation – check with physician before use of ...
[DOC File]ICU SEDATION GUIDELINES
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Shaz BH, Dente CJ, Nicholas J, MacLeod JB, Young AN, Easley K, Ling Q, Harris RS, Hillyer Increased number of coagulation products in relationship to red blood cell products transfused improves mortality in trauma patients. Transfusion. 2010;50(2):493.
[DOC File]National PBM Drug Monograph
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Exclusion: included in clinical study of rh-thrombin, undergone a surgical procedure or been treated with any experimental agent within 30 days or had received blood products within 24 hrs of operation. Three Surgical Settings: Spinal surgery, hepatic resection or vascular surgery (PAB surgery or AV graft placement for dialysis)
spark.siue.edu
A life-threatening emergency associated with surgical interventions is massive bleeding due to the disruption of the coagulation system. A systematic literature review completed by Ker et al. (2012) estimated 400,000 worldwide, in-hospital deaths due to bleeding each year.
[DOC File]Coagulopathy - Stanford University
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As the above quotations indicate, there is controversy within the surgical and anesthetic literature regarding routine administration of these products. However, the clinical reality is that, in the massively transfused patient, relevant laboratory data may not be available when the decision is made to treat what appears to be medical bleeding.
[DOC File]English - Helena Laboratories
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8. Lee RI, White PD: A clinical study of the coagulation time of blood. Am J Med Sci 145:495-503, 1913. 9. Schriever HG, Epstein SE, Mintz MD : Statistical correlation and heparin sensitivity of activated partial thromboplastin time, whole blood coagulation time, and an automated coagulation time. Am J Clin Path 60:323-329. 1973. 10.
[DOCX File] - Los Angeles County, California
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Ordering physicians are contacted and asked to reduce or defer their use of blood products. Routine surgical procedures may be cancelled or postponed until after the situation is resolved. Emergency-only transfusion of blood products to patients of medical services may be implemented.Updates will be periodically communicated to the clinical areas.
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