Indian Journal of Anaesthesia  
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REVIEW ARTICLE
Year : 2014  |  Volume : 58  |  Issue : 5  |  Page : 565-572

Coagulation testing in the perioperative period


1 Department of Anaesthesia, The Queen Elizabeth Hospital, Woodville; Discipline of Acute Care Medicine, The University of Adelaide, South Australia
2 Department of Anesthesiology, Milton S. Hershey Medical Center, Penn State College of Medicine, 500 University Drive, Hershey, PA 17033-085, USA

Correspondence Address:
Dr. Sanjib Das Adhikary
Department of Anesthesiology, H-187, Milton S.Hershey Medical Center, Penn State College of Medicine, 500 University Drive, Hershey, PA 17033-085, USA

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.144657

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Perioperative coagulation management is a complex task that has a significant impact on the perioperative journey of patients. Anaesthesia providers play a critical role in the decision-making on transfusion and/or haemostatic therapy in the surgical setting. Various tests are available in identifying coagulation abnormalities in the perioperative period. While the rapidly available bedside haemoglobin measurements can guide the transfusion of red blood cells, blood product administration is guided by many in vivo and in vitro tests. The introduction of newer anticoagulant medications and the implementation of the modified in vivo coagulation cascade have given a new dimension to the field of perioperative transfusion medicine. A proper understanding of the application and interpretation of the coagulation tests is vital for a good perioperative outcome.


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