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[Emergencies in cardiac surgery: prophylaxis or correction?]
1Istituto di Anestesia e Rianimazione, Servizio di Cardioanestesia e Terapia Intensiva Cardiochirurgica, Policlinico Universitario A. Gemelli, UCSC, Roma, Italy.
Minerva Anestesiologica
|May 28, 2003
Abstract:
Management of coagulation during cardiac surgery is always challenging for the anesthesiologist, even in elective operations. The strict linkage between coagulation and inflammation is amplified during cardiopulmonary bypass due to the contact of the blood with the foreign surfaces. In emergencies, coagulative derangement could be worse but the cardiocirculatory instability and parenchimal failure often overcome the attention to this problem.