Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case Conundrums
Perioperative coagulopathy impacts patient outcome by influencing intraoperative hemodynamics and blood loss. We present two cases which despite having normal preoperative coagulation profiles and normotension during the surgery had intraoperative coagulopathy and unusual bleeding. These cases requi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-06-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1712855 |
| _version_ | 1818644013890142208 |
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| author | Joseph N. Monteiro Shwetal Goraksha Ninad S. Dhokte Balkrishna Padate |
| author_facet | Joseph N. Monteiro Shwetal Goraksha Ninad S. Dhokte Balkrishna Padate |
| author_sort | Joseph N. Monteiro |
| collection | DOAJ |
| description | Perioperative coagulopathy impacts patient outcome by influencing intraoperative hemodynamics and blood loss. We present two cases which despite having normal preoperative coagulation profiles and normotension during the surgery had intraoperative coagulopathy and unusual bleeding. These cases required a multidisciplinary approach to manage them successfully. A thorough knowledge of the coagulation cascade along with a high-degree of suspicion and early recognition of coagulation is required. Abnormalities are critical for a timely intervention. Point-of-care tests like thromboelastography (TEG) as well as platelet function studies helped us arrive at an early diagnosis and initiate prompt treatment. |
| first_indexed | 2024-12-17T00:08:06Z |
| format | Article |
| id | doaj.art-a55e6863bebe4ec9a66827d82cf84a59 |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-12-17T00:08:06Z |
| publishDate | 2020-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-a55e6863bebe4ec9a66827d82cf84a592022-12-21T22:10:54ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2020-06-01080214414610.1055/s-0040-1712855Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case ConundrumsJoseph N. Monteiro0Shwetal Goraksha1Ninad S. Dhokte2Balkrishna Padate3Department of Anaesthesiology, P. D. Hinduja Hospital and Medical Research Centre. Mumbai, Maharashtra, IndiaDepartment of Anaesthesiology, P. D. Hinduja Hospital and Medical Research Centre. Mumbai, Maharashtra, IndiaDepartment of Anaesthesiology, P. D. Hinduja Hospital and Medical Research Centre. Mumbai, Maharashtra, IndiaDepartment of Hematology, P. D. Hinduja Hospital and Medical Research Centre. Mumbai, Maharashtra, IndiaPerioperative coagulopathy impacts patient outcome by influencing intraoperative hemodynamics and blood loss. We present two cases which despite having normal preoperative coagulation profiles and normotension during the surgery had intraoperative coagulopathy and unusual bleeding. These cases required a multidisciplinary approach to manage them successfully. A thorough knowledge of the coagulation cascade along with a high-degree of suspicion and early recognition of coagulation is required. Abnormalities are critical for a timely intervention. Point-of-care tests like thromboelastography (TEG) as well as platelet function studies helped us arrive at an early diagnosis and initiate prompt treatment.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1712855thromboelastographythrombin activatable fibrinolysis inhibitorselective serotonin reuptake inhibitor |
| spellingShingle | Joseph N. Monteiro Shwetal Goraksha Ninad S. Dhokte Balkrishna Padate Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case Conundrums Journal of Neuroanaesthesiology and Critical Care thromboelastography thrombin activatable fibrinolysis inhibitor selective serotonin reuptake inhibitor |
| title | Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case Conundrums |
| title_full | Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case Conundrums |
| title_fullStr | Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case Conundrums |
| title_full_unstemmed | Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case Conundrums |
| title_short | Perioperative Coagulopathy in Patients with Normal Preoperative Coagulation Screen: A Couple of Coagulopathic Clinical Case Conundrums |
| title_sort | perioperative coagulopathy in patients with normal preoperative coagulation screen a couple of coagulopathic clinical case conundrums |
| topic | thromboelastography thrombin activatable fibrinolysis inhibitor selective serotonin reuptake inhibitor |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1712855 |
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