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Management of Bleeding in the Postoperative Cardiac Patient

Management of Bleeding in the Postoperative Cardiac Patient
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Author(s): Nadia Hensley (Johns Hopkins University School of Medicine, USA)and Marc Sussman (Johns Hopkins University School of Medicine, USA)
Copyright: 2015
Pages: 17
Source title: Modern Concepts and Practices in Cardiothoracic Critical Care
Source Author(s)/Editor(s): Adam S. Evans (Icahn School of Medicine at Mount Sinai, USA), Gregory E. Kerr (Weill Cornell Medical College, USA), Insung Chung (Icahn School of Medicine at Mount Sinai, USA)and Robin Varghese (Icahn School of Medicine at Mount Sinai, USA)
DOI: 10.4018/978-1-4666-8603-8.ch031

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Abstract

Bleeding in the postoperative cardiac surgical patient can be multifactorial. This chapter examines the preoperative and intraoperative risk factors for having significant postoperative bleeding. It also discuss the advantages and disadvantages of standard laboratory testing as well as point-of-care tests, such as thromboelastography (TEG) and thromboelastometry (ROTEM), in their diagnostic capabilities. Finally, we conclude with different treatment strategies in this challenging patient population along with diagnostic criteria of clinically significant postoperative bleeding and when to return to the operating room for re-exploration.

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