The delicate balance between bleeding and thrombosis in cardiac patients undergoing thoracic surgery |
| Author : Omer Baygin 1 , Didem Gungor Arslan 2 , Ayten Saracoglu |
| Abstract | Full Text |
Abstract :Management of perioperative anti-coagulation is a general clinical dilemma, and generally
accompanied by the signi
fi
cant adverse effects. A personalized approach is necessary to minimize the
risks of anesthesia and surgery in patients with comorbidities. Patients with coronary artery disease may
not tolerate decreased oxygen delivery and increased oxygen demand in myocardium due to bleeding.
On the other side there is an increased use of new anticoagulants in thoracic surgery. The essentials
of perioperative management should be determined by creating a balance between the use of oral
anticoagulants in low bleeding risk, and bridging treatment for patients having high thromboembolic
risk. In this opinion article, we aimed to review the factors affecting bleeding and thrombosis during
thoracic surgery. C |
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New methods for bleeding monitoring |
| Author : Omer Baygin, Ozlem Kaya, Ayten Saracoglu* and Kemal Tolga Saracoglu |
| Abstract | Full Text |
Abstract :Bleeding is a potentially preventable reason of the death among patients during major surgery. Appropriate monitorization is necessary to perform optimum resuscitation. However, conventional coagulation tests have some limitations. In recent years, point of care (POC) tests has been developed to improve patient safety in the presence of clinical bleeding POC tests measure viscoelastic properties of full-thickness clot formation in the beginning of bleeding. In this review, both of advantage and disadvantage of monitorization tests during bleeding management is explained. |
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