Perioperative coagulation management in the intensive care unit.

Published

Other Article (Review)

PURPOSE OF REVIEW: Coagulopathy in an ICU setting is multifactorial, but newer anticoagulation agents are the potentially contributing causes. Critically ill patients may suffer from disorders because of surgery or trauma, in addition to acquired causes including antiplatelet agents and the new oral anticoagulants. An understanding of the coagulopathy, hemostatic considerations, and therapeutic approaches is important when managing these patients. RECENT FINDINGS: All anticoagulation agents may contribute to coagulopathy in critically ill patients. Options for management include hemodialysis, transfusion of blood products, and prohemostatic drugs. Recombinant and purified coagulation therapies are also now available in most countries that provide clinicians with specific agents to treat targeted deficiencies. SUMMARY: Coagulopathy occurs in ICU patients because of multiple factors including anticoagulants, dilution, fibrinolysis, and factor consumption. Therapeutic prohemostatic pharmacologic approaches, in addition to standard transfusion therapy, need to be considered in managing coagulopathy in the ICU setting.

Full Text

Duke Authors

Cited Authors

  • Levy, JH; Faraoni, D; Sniecinski, RM

Published Date

  • February 2013

Published In

Volume / Issue

  • 26 / 1

Start / End Page

  • 65 - 70

PubMed ID

  • 23143085

Pubmed Central ID

  • 23143085

Electronic International Standard Serial Number (EISSN)

  • 1473-6500

Digital Object Identifier (DOI)

  • 10.1097/ACO.0b013e32835b82df

Language

  • eng

Conference Location

  • United States