Monitoring of Hemostasis
نویسنده
چکیده
Critically ill patients (CIP) are patients who, because of dysfunction or failure of one or more organs/systems depend on advanced instruments for monitoring and therapy for their survival. Coagulation abnormalities are common in CIP. The most common (35–44%) is thrombocytopenia (platelet count less than 150,000/ ll), due to sepsis, disseminated intravascular coagulation (DIC), thrombotic microangiopathy, or induced by drugs, such as heparin. Prolonged global coagulation times, beyond antithrombotic therapy, are also found, and are a result of quantitative defects of coagulation factors, caused by synthesis defects (liver insufficiency), excessive loss (massive hemorrhage), or consumption (DIC), low levels of one or more coagulation factors due to antibodies, antiphospholipid antibodies, or the presence of inhibitors [1–3]. This chapter will provide information on the principles, clinical significance, technology and open problems in laboratory assessment of hemostasis in critically ill patients.
منابع مشابه
Comparison of Celox powder and conventional dressing on hemostasis of vascular access site in hemodialysis patients
Background: Common measures to stop bleeding can run the risk of clotting and thrombosis due to prolonged application of pressure. Topical homeostatic agents have an important role in decreasing time to hemostasis and consequently prevention of the complications. Aim: the aim of this study was to compare Celox powder and conventional bandage on time to hemostasis in the vascular access site i...
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