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Anticoagulation in Critically Ill Adults during Extracorporeal Circulation
This review gives a practical view on current concepts of anticoagulation strategies in patients with extracorporeal assist devices.
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Coagulation Test Changes Associated with Acute Normovolemic Hemodilution in Cardiac Surgery
In patients undergoing cardiac surgery requiring CPB, ANH results in significant improvements of aPTT, fibrinogen and hemoglobin values; however, the true clinical significance is questionable. In the absence of ongoing surgical bleeding, there appears to be normalization of coagulation tests (excluding fibrinogen) following CPB.
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I-PASS Handover System: A Decade of Evidence Demands Action
Thus, consistent with all previous studies, I-PASS was implemented successfully and handover quality improved. However, is the lack of association of I-PASS implementation with clinical outcomes and adverse events in this study a concern? To answer this question, it is necessary to review the origins of I-PASS more than a decade ago and its continually expanding evidence base.
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