| Category |
Anesthesiology |
| Manuscript Type |
Case Report |
| Article Title |
Haemostatic management for aortic valve replacement in a patient with advanced liver disease
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Laurence Weinberg, Irene Kearsey, Clarissa Tjoakarfa, George Matalanis, Sean Galvin, Scott Carson, Rinaldo Bellomo, Larry McNicol and Peter McCall |
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Department of Anaesthesia Research Fund |
|
| Department of Anaesthesia, Austin Hospital, Melbourne, Victoria 3084, Australia |
|
|
| Corresponding Author |
Laurence Weinberg, MBBCH, BSc, MRCP, DipCritCareECho, FANZCA, Department of Anaesthesia, Austin Hospital, 145 Studley Rd, Melbourne, Victoria 3084,
Australia. laurence.weinberg@austin.org.au
|
| Key Words |
Cardiac surgery; Liver failure; Coagulopathy; Cardiopulmonary bypass |
| Core Tip |
Cardiac surgery in patients with advanced liver disease is associated with significant morbidity and mortality. Refractory coagulopathy is common and requires a proactive multidisciplinary haemostatic management strategy. Given the limited information available for the specific management and prevention of cardiopulmonary bypass induced haemostatic failure, this report serves to guide the anaesthesia and medical management of future cases of a similar kind. We discuss our multimodal management of haemostatic failure using pharmacological strategies, thromboelastography, continuous cerebral and liver oximetry, and continuous cardiac output monitoring.
|
| Publish Date |
2014-10-15 19:29 |
| Citation |
Weinberg L, Kearsey I, Tjoakarfa C, Matalanis G, Galvin S, Carson S, Bellomo R, McNicol L, McCall P. Haemostatic management for aortic valve replacement in a patient with advanced liver disease. World J Clin Cases 2014; 2(10): 596-603 |
| URL |
http://www.wjgnet.com/2307-8960/full/v2/i10/596.htm |
| DOI |
http://dx.doi.org/10.12998/wjcc.v2.i10.596 |
