Early Platelet Dysfunction: An Unrecognized Role in the Acute Coagulopathy of Trauma
In this study, we show that platelet dysfunction is manifest after major trauma and before substantial fluid or blood administration.
An Original Model to Predict Intensive Care Unit Length-of Stay after Cardiac Surgery in a Competing Risk Framework
ICU-LOS can be predicted by preoperative data and type of surgeries.
The Role of the VAD Perfusionist (EP Video)
Christopher Pierce discusses the new role of the VAD perfusionist (26:28 minutes).
Acute Massive Pulmonary Embolism and Hemodynamic Collapse in an 11 Week Post Cesarean Section Patient (EP Video)
Jenna Cornibe presents a case report on a patient 11 Week post cesarean section patient with a pulmonary embolism (27:54 minutes).
Bivalirudin-Based Versus Conventional Heparin Anticoagulation for Postcardiotomy Extracorporeal Membrane Oxygenation
The present study is a retrospective comparison of the conventional heparin-based anticoagulation protocol with a bivalirudin-based, heparin-free protocol. Endpoints of this study are blood loss, allogeneic blood product use, and costs during the ECMO procedure.
Antiplatelet Therapy in Patients with Coronary Artery Stents for Noncardiac Surgery: Role of Thromboelastography
The perioperative course of the patients who have undergone coronary stent placement was studied. These patients were on dual antiplatelet therapy and were posted for noncardiac surgery.
Monitoring Patients at Risk of Massive Transfusion with Thrombelastography or Thromboelastometry: A Systematic Review
Thrombelastography (TEG) and Thrombelastometry (ROTEM) are viscoelastic whole-blood assays evaluating the haemostatic capacity of blood. These devices are used in algorithms to guide transfusion of haemostatic blood components.
Antiplatelet Therapy in Patients with Coronary Artery Stents for Noncardiac Surgery: Role of Thromboelastography
The perioperative course of the patients who have undergone coronary stent placement was studied. These patients were on dual antiplatelet therapy and were posted for noncardiac surgery.
Platelet Mapping as Part of Modified Thromboelastography (TEG) in Patients Undergoing Cardiac Surgery and Cardiopulmonary Bypass
The platelet-mapping assay of the thromboelastograph was used to measure platelet aggregation and to examine the effect of cardiopulmonary bypass on multiple platelet receptors and the role of altered receptor activity in postoperative bleeding.
A Method for Anticoagulation of Children on Mechanical Circulatory Support
We describe an anticoagulation protocol based upon TEG and platelet aggregation studies and using heparin, aspirin, and dipyridamole. Adequate anticoagulation is more difficult in children. However, 71% of the patients in our study survived long term.
Thrombelastography Change after Bridging to Left Ventricular Assist Device From Extracorporeal Membrane Oxygenation Patients
Coagulopathy of patients with VAD improved after bridging from ECMO, which can be attributed to improved coagulation factor and platelet function. Thus, bleeding complications are reduced.
Impact of Cell Salvage During Cardiac Surgery on the Thrombelastomeric Coagulation Profile: A Pilot Study
Intraoperative cell salvage of the cardiopulmonary bypass residual volume can dilute platelets and coagulation factors. This is a report of a randomised control trial of 20 patients undergoing coronary bypass surgery.