Coagulopathies and Hypercoagulable States

  • Aaron Strumwasser
  • Erin Palm


Coagulopathy management in the surgical ICU (SICU) requires early recognition and rapid treatment of the underlying hemostatic disturbance. The degree of prothrombotic and/or antithrombotic tendency can be assessed by conventional coagulation testing (PT/PTT/INR), but recent literature suggests that point-of-care viscoelastic testing (TEG/ROTEM) may allow for more rapid, accurate, and timely diagnosis and treatment. While acquired states of coagulopathy due to traumatic bleeding or postoperative hemorrhage are more common in the SICU, the surgical intensivist must be able to identify and treat the commonly inherited coagulopathies in the ICU: heparin-induced thrombocytopenia (HIT), von Willebrand disease (VWD), hemophilia, and clotting factor deficiencies.


Coagulopathy Bleeding HIT Hemophilia VWD Viscoelastic testing 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Aaron Strumwasser
    • 1
  • Erin Palm
    • 1
  1. 1.Los Angeles CountyUniversity of Southern California Medical CenterLos AngelesUSA

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