title: [Prevention, diagnosis and treatment of bleeding in cardiac surgery].
abstract: Patients undergoing cardiac surgery are at high risk of bleeding and transfusion. This risk has increased in recent years and is associated with increased morbidity and mortality. Moreover, despite being one of the most common complications associated with this surgery, there remains a large variability in its management between institutions. Implementation of algorithms for coagulation management has been shown to reduce transfusion requirements and therefore it seems essential to establish protocols that include preventive measures, effective mechanisms for diagnosis and treatment algorithms. On the other hand, the emergence of new drugs and the use of point of care coagulation monitoring systems, is changing our diagnostic and therapeutic options. This paper reviews several aspects related to the causes, diagnosis and treatment of bleeding associated with cardiac surgery and presents an algorithm for its management.
authors.affiliation: Departamento de Anestesiología, Hospital de la Santa Creu i Sant Pau, Barcelona, España. ppaniagua@santpau.cat
authors.forename: P
authors.initials: P
authors.lastname: Paniagua
authors.forename: G
authors.initials: G
authors.lastname: Fita
authors.forename: L
authors.initials: L
authors.lastname: Rivera
authors.forename: F
authors.initials: F
authors.lastname: Parramon
authors.forename: T
authors.initials: T
authors.lastname: Koller
authors.forename: C
authors.initials: C
authors.lastname: Basora
authors.forename: D
authors.initials: D
authors.lastname: Lushchenkov
authors.forename: X
authors.initials: X
authors.lastname: March
mesh_terms: D000465:Algorithms; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D006801:Humans; D019106:Postoperative Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*