Gestational hemostasis: a natural model for hemostasis resuscitation of major periprocedural blood loss
Abstract Early goal-directed treatment is an evidence-based approach to guide hemostatic therapy during major periprocedural bleeding. If viscoelastic coagulation tests are not available, an algorithm, termed the pyramid of hemostatic interventions, can help manage severe bleeding. Pregnant women accumulate huge reserves of prothrombotic and antifibrinolytic hemostatic elements to avoid peripartum blood loss. We provide comparison of therapeutic hemostatic approaches and natural gestational process and identified remarkable analogy between early goal-directed management of bleeding and hemostatic adaptation of pregnant woman. Therefore, gestational hemostasis serves as a natural model for goal-directed hemostasis resuscitation and can foster understanding of hemostatic management of periprocedural bleeding..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
Perioperative medicine - 10(2021), 1 vom: 13. Dez. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Babik, Barna [VerfasserIn] |
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| Links: |
Volltext [kostenfrei] |
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| Themen: |
Coagulation |
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| Anmerkungen: |
© The Author(s) 2021 |
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| doi: |
10.1186/s13741-021-00225-0 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Abstract Early goal-directed treatment is an evidence-based approach to guide hemostatic therapy during major periprocedural bleeding. If viscoelastic coagulation tests are not available, an algorithm, termed the pyramid of hemostatic interventions, can help manage severe bleeding. Pregnant women accumulate huge reserves of prothrombotic and antifibrinolytic hemostatic elements to avoid peripartum blood loss. We provide comparison of therapeutic hemostatic approaches and natural gestational process and identified remarkable analogy between early goal-directed management of bleeding and hemostatic adaptation of pregnant woman. Therefore, gestational hemostasis serves as a natural model for goal-directed hemostasis resuscitation and can foster understanding of hemostatic management of periprocedural bleeding. | ||
| 650 | 4 | |a Coagulation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Pregnancy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Physiology |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Massive bleeding |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Massive transfusion |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Kupcsulik, Szilvia |4 aut | |
| 700 | 1 | |a Fazakas, János |4 aut | |
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