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Preoperative Bleeding Disorders

  • Jonathan Silverstein

Abstract

The purpose of pre-operative screening for bleeding disorders is to eliminate clinically significant coagulopathy in the perioperative period. Goals include; identifying (and correcting) congenital and acquired defects in platelet function, the coagulation cascade, and fibrinolysis, as well as preparing for surgical procedures which in themselves pose a hemostatic risk. Undiagnosed coagulopathy may have legal implications while a broad, “shot-gun” use of serum coagulation tests for screening has unacceptable cost. The single most accurate and cheapest pre-operative screening method for bleeding disorders is the history and physical examination which, if combined with knowledge of the extent of the operation, can limit laboratory screening to only those patients at high risk of bleeding.

Keywords

Factor VIII Fresh Freeze Plasma Fresh Freeze Plasma Bleeding Time Bleeding Disorder 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Jonathan Silverstein

There are no affiliations available

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