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Preoperative bleeding risk assessment in cardiac surgery patients
https://doi.org/10.30629/0023-2149-2024-102-5-6-400-409
Abstract
One of the most important aspects in achieving successful outcomes in cardiac surgery is the evaluation of the risk of bleeding during and after the procedure. Preoperative anemia, intraoperative bleeding, and transfusion therapy contribute to a cumulative risk of adverse events. Given the limitations of traditional coagulation tests, a more comprehensive and patient-centered approach is necessary. Factors affecting the risk of bleeding should be considered from the perspective of both individual patient characteristics and the specific type and extent of the planned surgical intervention. The risk assessment should be informed by individual and familial history, as well as previous episodes of bleeding or other relevant information. The use of bleeding risk scales can play a crucial role in this process, providing valuable insights into the likelihood of bleeding complications. In conclusion, a comprehensive approach that takes into account the unique characteristics of each patient and the specific details of the surgical procedure is essential for minimizing the risk of complications and ensuring successful outcomes.
About the Author
V. S. Zyuzin
Federal Center of High Medical Technologies
Russian Federation
Russian Federation
Vadim S. Zyuzin — doctor of the highest qualifi cation category, head of the transfusiological offi ce
Kaliningrad
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Review
For citations:
Zyuzin V.S. Preoperative bleeding risk assessment in cardiac surgery patients. Clinical Medicine (Russian Journal). 2024;102(5-6):400-409. (In Russ.) https://doi.org/10.30629/0023-2149-2024-102-5-6-400-409
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