Abstract
Preoperative identification and management of hemostatic disorders minimizes bleeding complications from surgery. Taking a history is the most important part of assessing a patient’s perioperative bleeding risk, followed by lab testing if indicated. Management of specific disorders such as von Willebrand disease, hemophilia, and vitamin K deficiency in the perioperative period requires specific lab monitoring and product administration.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rapaport SI. Preoperative hemostatic evaluation: which tests, if any? Blood. 1983;61(2):229–31.
Chee YL, Crawford JC, Watson HG, et al. Guidelines on the assessment of bleeding risk prior to surgery or invasive procedures. British Committee for Standards in Haematology. Br J Haematol. 2008;140(5):496–504.
Bonhomme F, Ajzenberg N, Schved JF, et al. Pre-interventional hemostatic assessment. Guidelines from the French Society of Anaesthesia and Intensive Care. Eur J Anaesthesiol. 2013;30:142–62.
Weil IA, Seicean S, Neuhauser D, et al. Use and utility of hemostatic screening in adults undergoing elective, non-cardiac surgery. PLoS One. 2015;10(12):e0139139.
Lind SE. The bleeding time does not predict surgical bleeding. Blood. 1991;77(12):2547–52.
Jaffer IH, Reding MT, Key NS, et al. Hematologic problems in the surgical patient: bleeding and thrombosis. In: Hoffman R, Benz EJ, Silberstein LE, al e, editors. Hematology: basic principles and practice. 7th ed. Philadelphia: Elsevier; 2018. p. 2304.
Kruse-Jarres R, Singleton TC, Leissinger CA. Identification and basic management of bleeding disorders in adults. J Am Board Fam Med. 2014;27(4):549–64.
Castaman G, Linari S. Diagnosis and treatment of von Willebrand disease and rare bleeding disorders. J Clin Med. 2017;6(4):E45.
Leebek FWG, Eikenboom JCJ. Von Willebrand’s disease. N Engl J Med. 2016;375:2067–80.
Arya RC, Wander GS, Gupta P. Blood component therapy: which, when and how much. J Anaesthsiol Clin Pharmacol. 2011;27(2):2954–62.
American Society of Anesthesiologists Task Force on Perioperative Blood Management. Practice guidelines for perioperative blood management: an updated report by the American Society of Anesthesiologists Task Force on perioperative blood management. Anesthesiology. 2015;122(2):241–75.
Szczepiorkowski ZM, Dunbar NM. Transfusion guidelines: when to transfuse. Hematology Am Soc Hematol Educ Program. 2013;2013:638–44.
Srivastava A, Brewer AK, Mauser-Bunschoten EP, et al. Guidelines for the management of hemophilia. Hemophilia. 2013;19:e1–e47.
Acknowledgments
Robert E. Richard, MD, PhD
Director of Hematology, VA Puget Sound Health Care System
Associate Professor of Medicine, Division of Hematology, University of Washington
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Sanchez, M.M., Cornia, P.B. (2020). Disorders of Hemostasis. In: Jackson, M., Huang, R., Kaplan, E., Mookherjee, S. (eds) The Perioperative Medicine Consult Handbook. Springer, Cham. https://doi.org/10.1007/978-3-030-19704-9_23
Download citation
DOI: https://doi.org/10.1007/978-3-030-19704-9_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-19703-2
Online ISBN: 978-3-030-19704-9
eBook Packages: MedicineMedicine (R0)