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UNIT
XI: EXTRACORPOREAL BYPASS AND COAGULATION-BLOOD PRODUCTS
D. Fundamentals of Coagulation Management and Blood Component Therapy
Contents:
- Blood characteristics
- Blood groups and specific antigens
- Cellular elements
- Clotting cascade
- Pathophysiology of clotting
- Drugs that affect clotting and platelet function
- Hemorrhagic and thrombotic complications of cardiac surgery
- Diagnosis
- Preoperative, intraoperative, and postoperative management
- Heparin, Protamine
- Cardiac and vascular prostheses
- Component therapy
- Packed red blood cells
- Fresh frozen plasma
- Platelets
- Cryoprecipitate
- Specific clotting factors
- Blood conservation
- Indications for transfusion
- Autotransfusion
- Cell-plasma salvage
- Hemoconcentration
- Pharmacologic manipulation
Clinical Skills:
During the course of the program, the resident:
- Evaluates patients requiring component therapy and develops management strategies
to correct abnormalities of the coagulation system;
- Uses appropriate tests to ensure the safety of blood and blood components;
- Uses appropriate blood conservation techniques.
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