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Lynne Anderson

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date: 22 September 2020

Cardiac surgery as a specialty is almost uniquely placed to provoke the development of coagulation abnormalities. There are numerous reasons why cardiac surgical patients may become coagulopathic. These include haemodilution, haemorrhage, platelet damage, antiplatelet therapy, heparin-protamine mismatch, heparin-induced thrombocytosis, warfarin, contact with artificial surfaces, and temperature. Techniques of blood conservation and the point-of-care testing of coagulation are reviewed. It is only through the adoption of a multimodal and multidisciplinary approach to blood conservation that the best results can be obtained. Optimizing transfusion practice can reduce blood transfusion rates and improve patient outcomes.

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