Bleeding diatheses and preoperative screening.

Abstract

Bleeding disorders pose a significant perioperative risk. Surgeons and surgical consultants should have a working knowledge of the cell-based coagulation model. Careful screening for bleeding diatheses begins with a careful history and physical examination. It is paramount to ascertain what medications and nonprescribed supplements and herbal preparations a patient is taking, as these medications can have significant effects on perioperative bleeding tendencies. Finally, screening laboratory-based coagulation assays are available. These must be used judiciously with regard to a patient's history and the clinical circumstances surrounding the surgical stressor.

• Authors: Edward A McGillicuddy, Mark W Maxfield, Bernard Salameh, Louis H Stein, Usman Ahmad, Walter E Longo
• Journal: Journal of surgical education (J Surg Educ) 2013 May-Jun Vol. 70 Issue 3 Pg. 423-31 ISSN: 1878-7452 [Electronic] United States
• PMID: 23618454 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Topics

• Algorithms
• Blood Coagulation Disorders (diagnosis)
• Humans
• Medical History Taking
• Physical Examination
• Preoperative Care