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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 74 No. 1, 2020.

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PERIOPERATIVE COAGULATION DISORDERS

TAJANA ZAH BOGOVIĆ ; University of Zagreb, School of Medicine, Zagreb University Hospital Centre, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
SLOBODAN MIHALJEVIĆ ; University of Zagreb, School of Medicine, Zagreb University Hospital Centre, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia

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Abstract

Precise preoperative management of patients can identify coagulation disorders and risks prior to operative surgery, so it can be modifi ed. The use of a standardized questionnaire is preoperatively recommended and, depending on the American Society of Anesthesiologists status and the extent of surgical procedure, there are recommendations for preoperative laboratory tests. Nowadays, many patients undergoing a surgical procedure, elective or urgent, use drugs that act on blood clotting. In order to treat patients optimally, it is necessary to balance the risk of bleeding and thromboembolic complications. Specifi c approach is needed in case of intraoperative massive bleeding and in patients with polytrauma. A key factor for good outcome of patients with perioperative coagulopathy is an experienced anesthesiologist who understands the pathophysiology of coagulopathy in particular diseases and conditions, as well as the effects of various drugs on the coagulation system.

Keywords

coagulation; guidelines

Hrčak ID:

237930

URI

https://hrcak.srce.hr/237930

Publication date:

24.4.2020.

Article data in other languages: croatian

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