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Perioperative Coagulation Monitoring in Congenital Heart Disease Patients

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Congenital Heart Disease in Pediatric and Adult Patients

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Abstract

Bleeding after cardiac surgery is a common and severe complication leading to transfusion of multiple blood products and increased morbidity and mortality. Young age, low weight, polycythemia, profound hypothermia, and complex cardiac surgery are risk factors for severe bleeding. In addition, we need to account for the growing use of drugs that affect platelet aggregation and coagulation, which could increase the bleeding risk if not managed correctly.

Point-of-Care (POC) testing allows monitoring of one of the most problematic aspects that concern the health care providers when faced with surgical procedures, the hemostasis. POC bedside tests allow operating room or the intensive care diagnoses of coagulopathy of diverse etiology. Evidence-based algorithms integrate POC testing as one of the essential mechanisms to limit blood product transfusion, adverse events and allow goal-directed therapy.

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Authors and Affiliations

  1. Department of Anesthesiology, Infanta Sofía University Hospital, Universidad Europea de Madrid, Madrid, Spain

    Antonio Pérez Ferrer

  2. Department of Pediatric Cardiac Anesthesia, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX, USA

    Pablo Motta

Authors
  1. Antonio Pérez Ferrer
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  2. Pablo Motta
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Correspondence to Antonio Pérez Ferrer .

Editor information

Editors and Affiliations

  1. Anesthesiology Research Center, Cardiac Anesthesiology Department, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Ali Dabbagh

  2. Department of Anesthesiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA

    Antonio Hernandez Conte

  3. UCLA Department of Anesthesiology and Perioperative Medicine, Divisions of Congenital Cardiac Anesthesiology Adult Cardiac Anesthesiology and Pediatric Anesthesiology, The University of California, David Geffen School of Medicine UCLA Health System, Los Angeles, CA, USA

    Lorraine N. Lubin

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Pérez Ferrer, A., Motta, P. (2023). Perioperative Coagulation Monitoring in Congenital Heart Disease Patients. In: Dabbagh, A., Hernandez Conte, A., Lubin, L.N. (eds) Congenital Heart Disease in Pediatric and Adult Patients. Springer, Cham. https://doi.org/10.1007/978-3-031-10442-8_13

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  • DOI: https://doi.org/10.1007/978-3-031-10442-8_13

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