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Ganter, M T; Hofer, C K (2011). Prinzipien des perioperativen Gerinnungsmanagements. Der Chirurg, 82(7):635-644.

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Abstract

The coagulation system is a complex network of interacting proteins and cells with extensive sensitivity, amplification and control pathways. The system represents a delicate balance between procoagulant and anticoagulant as well as profibrinolytic and antifibrinolytic activities. Clinically relevant phenotypes, e.g. bleeding and thrombosis, occur immediately when this balance is no longer in equilibrium. A correct understanding of the complex coagulation pathophysiology in the perioperative setting is essential for an effective treatment. In a bleeding patient, patient's history, clinical findings, routine and advanced laboratory coagulation testing as well as point-of-care coagulation monitoring help to reliably and readily identify the underlying coagulation disorder. Modern coagulation management is proactive, individualized, balanced and follows clearly defined algorithms. Coagulopathic bleeding can be successfully controlled with specific interventions in the coagulation system.

Other titles:Principles of perioperative coagulation management
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of Anesthesiology
DDC:610 Medicine & health
Uncontrolled Keywords:review
Language:German
Date:2011
Deposited On:15 Jan 2012 09:35
Last Modified:27 Nov 2013 19:21
Publisher:Springer
ISSN:0009-4722
Additional Information:Ebenfalls publiziert in: Gefässchirurgie, 16(6): 435-444.
Publisher DOI:10.1007/s00104-010-2052-x
Related URLs:http://dx.doi.org/10.1007/s00772-011-0946-7
PubMed ID:21735358
Citations:Web of Science®. Times Cited: 1
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