The Year in Coagulation: Selected Highlights From 2019

Area of Science:

• Cardiovascular Anesthesia
• Coagulation Science
• Hematology

Background:

• The Journal of Cardiothoracic and Vascular Anesthesia introduces its first annual review of significant coagulation literature.
• Coagulation management is critical in cardiothoracic and vascular procedures.

Purpose of the Study:

• To summarize and analyze the most impactful coagulation research published in 2019.
• To provide an overview of advancements relevant to perioperative hemostasis and bleeding management.

Main Methods:

• Comprehensive literature review of coagulation studies from 2019.
• Analysis of guidelines and clinical practice advisories.
• Synthesis of information on specific topics including heparin monitoring and factor concentrates.

Main Results:

• Discussion of the Society of Cardiovascular Anesthesiologists clinical practice advisory on bleeding and hemostasis.
• Review of literature on heparin monitoring and protamine dosing.
• Examination of antiplatelet therapy, factor concentrate use, and coagulopathy in mechanical circulatory support.

Conclusions:

• The reviewed literature provides essential updates for managing coagulation in cardiothoracic and vascular patients.
• Key areas of focus include evidence-based practices for bleeding management and coagulopathy during mechanical circulatory support.