Hemocoagulative Problems in the Critically Ill Patient

ISBN-13: 9788847039070 / Angielski / Miękka / 2016 / 238 str.

Giorgio Berlot

Opis

This volume rebalances the former emphasis in the literature on dealing with hemorrhagic risk to cover the thrombotic risks identified in critically ill patients, whose related complications are both hard to detect and potentially extremely harmful or fatal.

Spis treści

Physiology of Hemostasis.- Monitoring of Hemostasis.- Anticoagulation therapy in ICU patients.- Inborn Pro-Thrombotic States.- Inborn Defects of the Coagulative System.- Inflammation and Coagulation.- Disseminated Intravascular Coagulation.- Coagulative Disturbancies in Trauma.- Hypothermia and coagulative disorders.- Hemostasis in Pregnancy and in Obstetric Surgery.- Hemostasis During Heart Surgery.- Hemostasis During Transplant Surgery.- Antiphospholipid Antibody Syndrome.- Pulmonary-Renal Syndrome.- Coagulative Disorders after Central Nervous System injury.

Blurb

Since the very beginning of critical care medicine, much attention has been paid to the risk of bleeding, but only recently the risk of thrombosis has been recognized in critical patients; in fact, current laboratory investigations aimed to monitor blood coagulation are more focused on the assessment of the hemorrhagic than of the thrombotic risk. Since mid-90s, many studies have detected powerful pro-thrombotic actions of endogenous mediators in sepsis and other inflammatory conditions, including trauma and postoperative status. Unfortunately, the related complication are both hard to detect and extremely harmful. The volume provides a full coverage of the hemocoagulative problems in anesthesia and intensive care, taking into consideration the physiology and monitoring of hemostasis, its relation with sepsis, and the specific aspects of the various critical conditions - from trauma to burns, to heart and transplant surgery or acute renal failure.