[Perioperative coagulation monitoring - medical and economic aspects].
For preoperative haemostatic assessment a structured questionnaire for the bleeding history of the patient should be primarily used. Only in case of abnormalities an additional laboratory coagulation testing is recommended. Such a test set must include functional testing of platelets as defects of the primary haemostasis are frequent. In the event of acute acquired perioperative coagulopathy laboratory coagulation testing is a prerequisite for sophisticated and precise diagnosis and therapy. Points of care techniques like thrombelastography are capable to provide fast and extensive information.
Heindl
Bernhard
B
Klinik für Anaesthesiologie am Klinikum der Universität München. bernhard.heindl@med.unimuenchen.de
D001777:Blood Coagulation / Q000502:physiology*; D001778:Blood Coagulation Disorders / Q000097:blood* / Q000175:diagnosis / Q000191:economics; D005858:Germany; D006487:Hemostasis / Q000502:physiology*; D006801:Humans; D008487:Medical History Taking; D016343:Monitoring, Intraoperative / Q000592:standards; D010314:Partial Thromboplastin Time; D011300:Preoperative Care; D011795:Surveys and Questionnaires; D013916:Thrombelastography / Q000379:methods