Main description:

This book provides a multidisciplinary approach to the maintenance of hemostasis and minimisation of blood loss in patients undergoing cardiac surgery. All aspects of patient blood management are covered that may contribute to a reduction in perioperative bleeding and transfusion requirements in cardiac surgery. This is achieved through practical cases and a theoretical background that gives a better understanding of patient hemostasis and the occurrence of bleeding complications.

This book is relevant to cardiac surgeons, anesthesiologists, clinical perfusionists, hematologists and intensivists.

Contents:

Team Approach.- Identification of patients at high risk for bleeding.- Definition and Risk Factors of Bleeding.- Relevance of Blood Loss and Economic Impact.- Preoperative measures to reduce anemia.- Risk of Anemia.- Therapy of Anemia.- Perioperative drug management to prevent bleeding and thrombosis.- Antiplatelet Drug Management.- Preoperative Management of Anticoagulants.- Bridging.- Monitoring of coagulation and hemostasis.- Platelet Function Monitoring.- Coagulation Monitoring.- Intraoperative measures to reduce bleeding and maintain hemostasis.- Anticoagulant Management.- Fibrinolysis.- Cardiopulmonary Bypass.- Blood Conservation Strategies.- Minimally Invasive Extracorporeal Circulation Systems.- Volume Replacement.- The Jehovah's Witness.- Postoperative treatment of coagulopathy and microvascular bleeding.- Treatment Algorithms for Bleeding.- Treatment with Procoagulants.- Transfusion Thresholds for Packed Red Blood Cells.- Bleeding Management in the Intensive Care Unit.- Venous Thromboembolism Prophylaxis