Patients with Disorders of Thrombosis and Hemostasis

• Autores: Andrea Orfanakis, Thomas DeLoughery
• Localización: Medical clinics of North America, ISSN 0025-7125, Vol. 97, Nº. 6, 2013 (Ejemplar dedicado a: Pre-operative Management of the Patient with Chronic Disease), págs. 1161-1180
• Idioma: inglés
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• Resumen

  • Surgery, by definition, is a challenge to the hemostatic system. In addition, a surgical procedure may provoke inappropriate venous or arterial thrombosis, such as is suggested historically by Virchow�s Triad. For these reasons, proper functioning of the hematologic system is integral in a successful and safe perioperative period. Patients with a disorder of either coagulation or hemostasis, therefore, present an exciting challenge to the preoperative physician. Diagnosis of a hematologic disorder may be more or less occult. A proper bleeding and clotting history can serve to elucidate such a disorder and is therefore paramount to the preoperative workup. For those patients with a previously diagnosed disorder of the hematologic system, appropriate laboratory investigation and a concise therapeutic plan for the day of surgery can help to minimize risks in the perioperative period.