Urological Emergencies
Figure 6.1 Algorithm for management of priapism The corpus cavernosum is engorged in priapism where as the corpus spongiosum is spared and not engorged. Use of prescribed drugs like antihypertensives,…
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Clinical Cases
Fig. 14.1 ROTEM thromboelastometry profile performed before, during, and after the surgical intervention and then daily for 1 week. Reference values: INTEM CT 100–240 s, CFT 30–110 s, MCF 50–72…
Blood Products, Derivates, and Prohemostatic Drugs
Fig. 6.1 EXTEM ROTEM trace of low platelet count in a patient with cirrhosis pre and post platelet transfusion 6.2.3 Adverse Events A comprehensive review of adverse plasma transfusion reactions…
Clinical Management of Severe Bleeding in Trauma Patients
Fig. 7.1 Physiopathology of trauma-induced coagulopathy Transfusion of ≥10 units of RBCs, which approximates the total blood volume (TBV) of an average adult patient, within 24 h Transfusion of at…
Management of Severe Bleeding in Cardiovascular Patients
Fig. 8.1 Calibrated automated thrombography. ETP endogenous thrombin potential; TF tissue factor Conventional tests offer a limited information on thrombin generation, even if prothrombin time and international normalized ratio are…
Practical Issues in POCT
Fig. 13.1 Emilia-Romagna, Italy Fig. 13.2 Emilia-Romagna integrated trauma care system (SIAT) The SIAT works according to hub and spoke model: severe and resource-consuming patients are centralized in first-level hubs…
Management of Severe Bleeding in Liver Disease and Transplantation
Body weight (kg) Targeted increase in MCF (A10) FIB TEM 4 mm 8 mm 12 mm 16 mm 20 0.5 g 1 g 1.5 g 2 g 40 1 g…
Assessment of the Effects of Antithrombotic Drugs
Fig. 12.1 Heparin rebound. Postoperative bleeding in aortic valve replacement. (a) Kaolin-TEG trace without heparinase. (b) Kaolin-TEG trace with heparinase. The presence of heparinase reduces R-time and K-time and normalizes…
Disorders of Hemostasis in the Bleeding Intensive Care Unit Patient
Fig. 11.1 A schematic overview of the main principal coagulopathies in ICU critical patients. DIC disseminated intravascular coagulopathy, HIT heparin-induced thrombocytopenia, NOAC novel oral anticoagulant (Modified from Levi and van…
Clinical Management of Postpartum Hemorrhage
© Springer International Publishing Switzerland 2016Marco Ranucci and Paolo Simioni (eds.)Point-of-Care Tests for Severe Hemorrhage10.1007/978-3-319-24795-3_9 9. Clinical Management of Postpartum Hemorrhage Vanessa Agostini1 , Maria Pia Rainaldi2, Maria Grazia Frigo3, Massimo Micaglio4 and Agostino Brizzi5 (1) Transfusion Medicine Cesena/Forlì and Blood Establishment, Clinical…
