Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel

Perioperative coagulation management in the intensive care unit.

Publication ,  Other
Levy, JH; Faraoni, D; Sniecinski, RM
Published in: Curr Opin Anaesthesiol
February 2013

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.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

February 2013

Volume

26

Issue

1

Start / End Page

65 / 70

Location

United States

Related Subject Headings

  • Renal Dialysis
  • Perioperative Care
  • Intensive Care Units
  • Humans
  • Hemostatics
  • Blood Transfusion
  • Blood Coagulation Disorders
  • Blood Coagulation
  • Anesthesiology
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Levy, J. H., Faraoni, D., & Sniecinski, R. M. (2013). Perioperative coagulation management in the intensive care unit. Curr Opin Anaesthesiol. United States. https://doi.org/10.1097/ACO.0b013e32835b82df
Levy, Jerrold H., David Faraoni, and Roman M. Sniecinski. “Perioperative coagulation management in the intensive care unit.Curr Opin Anaesthesiol, February 2013. https://doi.org/10.1097/ACO.0b013e32835b82df.
Levy JH, Faraoni D, Sniecinski RM. Perioperative coagulation management in the intensive care unit. Vol. 26, Curr Opin Anaesthesiol. 2013. p. 65–70.
Levy, Jerrold H., et al. “Perioperative coagulation management in the intensive care unit.Curr Opin Anaesthesiol, vol. 26, no. 1, Feb. 2013, pp. 65–70. Pubmed, doi:10.1097/ACO.0b013e32835b82df.
Levy JH, Faraoni D, Sniecinski RM. Perioperative coagulation management in the intensive care unit. Curr Opin Anaesthesiol. 2013. p. 65–70.

Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

February 2013

Volume

26

Issue

1

Start / End Page

65 / 70

Location

United States

Related Subject Headings

  • Renal Dialysis
  • Perioperative Care
  • Intensive Care Units
  • Humans
  • Hemostatics
  • Blood Transfusion
  • Blood Coagulation Disorders
  • Blood Coagulation
  • Anesthesiology
  • 3202 Clinical sciences