지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 1 - 15 (15page)
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Cardiac surgery is frequently associated with an excessive perioperative blood loss requiring transfusion of blood products. Various point-of-care(POC) assessments for coagulation and platelet function allow an appropriate and, targeted therapy and reduce blood loss and transfusion requirements. In particular, a quick evaluation of platelet and coagulation defects with new POC devices can optimize the administration of pharmacological and transfusion-based therapy in cardiac surgery. The main advantages of POC tests are shorter time delay, assessment in whole blood and patient’s temperature, potential to measure entire clotting process and to include information of platelet function. A transfusion algorithm using POC tests showed effectiveness in reducing intraoperative bleeding and transfusion requirements. Standardized procedure, strict quality control and trained personnel are highly recommended for optimal accuracy and performance of POC tests. (Anesth Pain Med 2011; 6: 1∼15)
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참고문헌 (79)
참고문헌 신청
Kost GJ / 2002 / 1. Goals, guidelines and principles for point-of-care testing. In Principles & practice of point-of-care testing / Lippincott Williams & Wilkin :3~12
Hartert H / 1948 / Blutgerinnungstudien mit der Thrombelastographie, einem neuen Untersuchungsverfahren / Klin Wochenschrift 26:557~583
Avidan MS / 2004 / Comparison of structured used of routine laboratory tests or near-patient assessment with clinical judgement in the management of bleeding after cardiac surgery / Br J Anaesth 92:178~186
Despotis G / 2007 / Risks associated with bleeding and transfusion: rationale for the optimal management of bleeding after cardiac surgery / Eur J Anaesthesiol 24:15~36
Despotis GJ / 1994 / Prospective evaluation and clinical utility of on-site monitoring of coagulation in patients undergoing cardiac operation / J Thorac Cardiovasc Surg 107:271~279
Hartert H / 1948 / Blutgerinnungstudien mit der Thrombelastographie, einem neuen Untersuchungsverfahren / Klin Wochenschrift 26:557~583
Avidan MS / 2004 / Comparison of structured used of routine laboratory tests or near-patient assessment with clinical judgement in the management of bleeding after cardiac surgery / Br J Anaesth 92:178~186
Despotis G / 2007 / Risks associated with bleeding and transfusion: rationale for the optimal management of bleeding after cardiac surgery / Eur J Anaesthesiol 24:15~36
Despotis GJ / 1994 / Prospective evaluation and clinical utility of on-site monitoring of coagulation in patients undergoing cardiac operation / J Thorac Cardiovasc Surg 107:271~279
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