Management of Postoperative Bleeding after Minimally Invasive Mitral Valve Repair: A Case Report
Journal Title: International Journal of Anesthesiology & Research (IJAR) - Year 2015, Vol 3, Issue 4
Abstract
Excessive postoperative bleeding after cardiac surgery is one of the major risk factors for increased morbidity and mortality. Effective and timely management is essential in averting the need for surgical re-exploration and preventing adverse outcomes. This case report describes the perioperative course of a patient undergoing minimally invasive mitral valve repair and the management of postoperative bleeding. The point of care testing technique of thromboelastography (TEG) is explored. Literature is reviewed for current evidence in treatment options for postoperative bleeding after cardiac surgery, including TEG-guided transfusion, fibrinogen replacement, activated Factor VII, antifibrinolytic agents, and DDAVP. The hemostatic management in the case report is then analyzed based on the current evidence.
Authors and Affiliations
Xin Yan Hu
Keywords
Related Articles
- EP ID EP202294
- DOI 10.19070/2332-2780- 1500026
- Views 94
- Downloads 0
Delirium - A Dysfunctional Circadian Rhythm
Delirium - A Dysfunctional Circadian Rhythm
Anesthetic Management of a Patient with Polycythemia Vera for Nephrectomy
Polycythemia Vera (PV) is a chronic myeloproliferative disease, characterized by erythrocytosis and hyperviscosity. A high proportion of PV surgeries are complicated by thrombosis (7.7%) or by a major hemorrhage (7.3%),...
Emergence Delirium: Revisiting A Clinical Enigma
Delirium seems to result from the interaction between pre-operative patient vulnerabilities and exposure to precipitating factors. Postoperative delirium (POD) is often observed in elderly patients undergoing orthopedic...
Sedoanalgesia Administration with Propofol and Ketamine for Minor Urologic Interventions
Aim: In this study we aimed to administer sedoanalgesia with propofol and ketamine combination in patients undergoing planned minor urologic interventions with limited anesthesia. By combining these two medications, lowe...
Anesthetic Consideration For Laparoscopic Surgery
Minimally invasive surgical procedures aim to minimize the tissue trauma but still achieve a satisfactory therapeutic result. Tissue trauma is significantly less than conventional open procedure. Laparoscopy is the proce...