RT Book, Section
A1 Baron, Joseph M.
A1 Baron, Beverly W.
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Wood, Lawrence D.H.
SR Print(0)
ID 2293407
T1 Chapter 69. Bleeding Disorders
T2 Principles of Critical Care, 3e
YR 2005
FD 2005
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071416405
LK accessanesthesiology.mhmedical.com/content.aspx?aid=2293407
RD 2022/05/26
AB Assessment  of  the  patient  with  a  bleeding  diathesis  requires  careful  history-taking  and  bedside  evaluation  and  comprehensive  baseline  coagulation  testing.Uncomplicated  vascular  injury  related  to  trauma  or  surgery  should  be  eliminated  as  the  primary  cause  of  bleeding  before  the  possibility  of  a  coagulopathy  is  invoked.Consideration  of  coagulation  abnormalities  should  include  vascular  disorders,  platelet  problems,  impairment  of  the  fibrin  generation  cascade,  and  excessive  fibrinolytic  activity.Disseminated  intravascular  coagulation  may  present  with  either  thrombotic  or  bleeding  problems.  Awareness  of  the  possibility  of  this  diagnosis  and  prompt,  appropriate  laboratory  confirmation  may  improve  treatment  selection  and  outcome.Invasive  procedures  in  critically  ill  patients  with  coagulopathies  need  to  be  performed  with  special  caution  to  prevent  complications.  Some  guidelines  are  presented.