Monitoring of coagulation parameters and options to influence them in patients with liver cirrhosis prior to invasive procedures

Czech version

Authors: P. Vychodil; E. Kieslichová
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní péče IKEM Praha, přednostka prim. MUDr. Eva Kieslichová
Published in: Vnitř Lék 2010; 56(Supplementum 1): 70-73
Category: 16th Parizek's Days, Ostrava-Poruba, March 25th –26th 2010

Overview

For coagulation monitoring in cirrhotic patients it is sufficient to measure PT, aPTT, fibrinogen, platelets and to take history of antiaggregation therapy. In doubt, or in extensive untreatable bleeding, native thrombelastography and modified heparinase I thrombeastography measurement for detection of heparinoid influence is indicated. The most important for adjustment of the coagulation state is platelet concentrate preparation for thrombocytopenic patients and correction of PT close before procedure, or in the beginning of procedure if possible.

Key words:
liver cirrhosis – coagulation disorders – coagulation monitoring – thrombocytopenia – surgical procedure

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