[Emergencies in cardiac surgery: prophylaxis or correction?].
Management of coagulation during cardiac surgery is always challenging for the anesthesiologist, even in elective operations. The strict linkage between coagulation and inflammation is amplified during cardiopulmonary bypass due to the contact of the blood with the foreign surfaces. In emergencies, coagulative derangement could be worse but the cardiocirculatory instability and parenchimal failure often overcome the attention to this problem.
Rossi
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Istituto di Anestesia e Rianimazione, Servizio di Cardioanestesia e Terapia Intensiva Cardiochirurgica, Policlinico Universitario A. Gemelli, UCSC, Roma, Italy.
Schiavello
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D000925:Anticoagulants / Q000627:therapeutic use; D000991:Antithrombins / Q000627:therapeutic use; D001777:Blood Coagulation / Q000187:drug effects / Q000502:physiology*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D006801:Humans; D007249:Inflammation / Q000209:etiology / Q000473:pathology; D007431:Intraoperative Complications / Q000097:blood / Q000503:physiopathology / Q000517:prevention & control*
D000925:Anticoagulants; D000991:Antithrombins