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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...

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Related Experiment Video

Updated: Jun 26, 2026

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
09:02

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Published on: July 31, 2016

[Managing perioperative haemostasis].

W Korte1

  • 1Institut für Klinische Chemie und Hämatologie, Kantonsspital St. Gallen, Schweiz. wolfgang.korte@ikch.ch

Hamostaseologie
|January 10, 2009
PubMed
Summary

Effective perioperative hemostasis management requires a thorough patient history and early problem assessment. New diagnostic assays are being developed to improve preoperative risk stratification for bleeding disorders.

Area of Science:

  • Anesthesiology
  • Hematology
  • Surgical Care

Context:

  • Perioperative hemostasis management is critical for patient safety.
  • Traditional coagulation tests (PT, aPTT) lack predictive value for intra- or postoperative bleeding.
  • Preoperative risk stratification and multidisciplinary assessment are essential.

Purpose:

  • To highlight limitations of current hemostasis assessment methods.
  • To emphasize the need for advanced diagnostic tools and strategic management of anticoagulation/antiplatelet therapies.
  • To advocate for evidence-based algorithms in managing perioperative bleeding.

Summary:

  • Patient history and early multidisciplinary assessment are foundational for perioperative hemostasis.
  • New assays for preoperative risk stratification are under development.

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Application of Hemostatic Devices in Laparoscopic Hepatectomy
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Application of Hemostatic Devices in Laparoscopic Hepatectomy

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Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
09:02

Percutaneous Hepatic Perfusion (PHP) with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver

Published on: July 31, 2016

Application of Hemostatic Devices in Laparoscopic Hepatectomy
04:23

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Published on: April 19, 2022

  • Careful planning of bridging therapy for anticoagulated patients is vital to mitigate cardiovascular risks.
  • Point-of-care diagnostics and validated algorithms can guide management during excessive bleeding.
  • Further clinical trials are needed to establish evidence-based approaches for blood component use.

    • Impact:

    • Improved prediction and management of bleeding complications.
    • Reduced reliance on blood products through algorithmic approaches.
    • Enhanced patient safety in surgical settings.
    • Foundation for developing evidence-based guidelines for perioperative hemostasis.