title: [Systemic hemostatic drugs].
abstract: Understanding the haemostatic changes is crucial in developing strategies for the management of haemorrhage syndroma. In recent years, the revised model of coagulation ("cell based" model) provided a much more authentic description of the coagulation process. Pharmacological intervention, especially desmopresin, antifibrinolytics (synthetics and nature) and increasingly recombinant activated factor VII are being used in prevention and therapeutically to control bleeding of variety etiologies. Skillfull surgery combined with blood saving methods and careful management of blood coagulation will all help in sucessfull haemorrhage prevention and treatment, and reduce unnecessary blood loss and transfusion requirements and its attendant risks. Among the all avalaible tests, the use of thromboelastography has allowed for more detailed dynamic assessment of the various steps of hemostasis.
authors.affiliation: Klinika za digestivnu hirurgiju, Institut za bolesti digestivnog sistema, KCS, Beograd.
authors.forename: D
authors.initials: D
authors.lastname: Vucelić
authors.forename: P
authors.initials: P
authors.lastname: Pesko
authors.forename: D
authors.initials: D
authors.lastname: Stojakov
authors.forename: P
authors.initials: P
authors.lastname: Sabljak
authors.forename: M
authors.initials: M
authors.lastname: Bjelović
authors.forename: M
authors.initials: M
authors.lastname: Dunjić
authors.forename: K
authors.initials: K
authors.lastname: Ebrahimi
authors.forename: B
authors.initials: B
authors.lastname: Nenadić
authors.forename: D
authors.initials: D
authors.lastname: Velicković
authors.forename: B
authors.initials: B
authors.lastname: Spica
mesh_terms: D006490:Hemostatics / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans
chemical_list: D006490:Hemostatics