BookCarlo Enrique Marcucci, Patrick Schoettker, editors.
Summary: All anesthesiologists are confronted with patients who show bleeding disorders, whether congenital, acquired, or pharmacologically induced. Although many studies, meta-analyses, guidelines, and textbooks have been published on the subject, they mostly cover specific aspects or require a thorough knowledge of hemostasis. The goal of this book is to provide the anesthetist with an overview of hemostasis and the mechanisms underlying bleeding and coagulation in general and to assist in the understanding of specific coagulation disorders as they may occur in the various anesthetic subspecialties. It is hoped that, through the provision of practical information and tools, the book will help residents and trained anesthetists to manage one of the most frustrating challenges that they face: the bleeding patient. A full understanding of coagulation requires a lifelong career, and this book is not intended to replace the consulting hematologist, whose expert opinion should always be sought. The available procoagulant blood products and drugs all have potentially dangerous side-effects; furthermore, in bleeding disorders pitfalls are frequent and a misdiagnosis can have potentially catastrophic consequences. The aim of the editors is thus instead to enhance the collaboration between the disciplines of Anesthesiology and Hematology.
Contents:
Part I: Pre-operative haemostasis: Cell based coagulation model
Laboratory testing of hemostasis
Viscoelastic tests of hemostasis
Point of care platelet function tests
Hemostasis assessment and evaluation
Hereditary coagulopathies
Acquired coagulopathies
Drug induced
Antiplatelet drugs
Intravenous fluids and coagulation
Split blood products
Isolated coagulation products
Pro-coagulant drugs
Patient blood management. Part II: Per-operative haemostasis: In cardiac surgery
In Hepatic Surgery
In Pediatric Surgery
In Obstetrics Surgery
In Trauma
In Neurosurgery
In Orthopedic Surgery
In Neuraxial and Peripheral Nerve blocks. Part III: Post-Operative: Intensive Care
Anti-Coagulation. Part IV: Economic aspects and organization.