title: Interventional Algorithms for the Control of Coagulopathic Bleeding in Surgical, Trauma, and Postpartum Settings: Recommendations From the Share Network Group.
abstract: Several clinical settings are associated with specific coagulopathies that predispose to uncontrolled bleeding. With the growing concern about the need for optimizing transfusion practices and improving treatment of the bleeding patient, a group of 9 Portuguese specialists (Share Network Group) was created to discuss and develop algorithms for the clinical evaluation and control of coagulopathic bleeding in the following perioperative clinical settings: surgery, trauma, and postpartum hemorrhage. The 3 algorithms developed by the group were presented at the VIII National Congress of the Associação Portuguesa de Imuno-hemoterapia in October 2013. They aim to provide a structured approach for clinicians to rapidly diagnose the status of coagulopathy in order to achieve an earlier and more effective bleeding control, reduce transfusion requirements, and improve patient outcomes. The group highlights the importance of communication between different specialties involved in the care of bleeding patients in order to achieve better results.
authors.affiliation: Transfusion Medicine and Blood Bank Department, H. São João, Centro Hospitalar São João, Porto, Portugal carvalho.mmanuela@gmail.com.
authors.forename: Manuela
authors.initials: M
authors.lastname: Carvalho
authors.affiliation: Transfusion Medicine Department, H. Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal.
authors.forename: Anabela
authors.initials: A
authors.lastname: Rodrigues
authors.affiliation: Transfusion Medicine Department, H. Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.
authors.forename: Manuela
authors.initials: M
authors.lastname: Gomes
authors.affiliation: Anesthesiology Department, H. São José, Centro Hospitalar Lisboa Central, Lisboa, Portugal.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Carrilho
authors.affiliation: Transfusion Medicine Department, H. Pulido Valente, Centro Hospitalar Lisboa Norte, Lisboa, Portugal.
authors.forename: António Robalo
authors.initials: AR
authors.lastname: Nunes
authors.affiliation: Anesthesiology Department, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.
authors.forename: Rosário
authors.initials: R
authors.lastname: Orfão
authors.affiliation: Anesthesiology Department, H. Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal.
authors.forename: Ângela
authors.initials: Â
authors.lastname: Alves
authors.affiliation: Anesthesiology Department, H. Santo António, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: José
authors.initials: J
authors.lastname: Aguiar
authors.affiliation: Clinical Hematology Department, H. Santo António, Centro Hospitalar do Porto, Porto, Portugal.
authors.forename: Manuel
authors.initials: M
authors.lastname: Campos
mesh_terms: D000465:Algorithms; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000628:therapy; D017410:Practice Guidelines as Topic; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy
keywords: algorithms; bleeding; coagulopathy; factor concentrates; hemostasis