Coagulopathy Detected with a Thrombelastography during ANH after Induction of General Anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 265-270, 2003.
Article
in English
| WPRIM
| ID: wpr-174812
ABSTRACT
Thrombelastography (TEG) performed by an anesthesiologist provides a rapid assessment of coagulation at the bedside. TEG analyzing coagulation status of native whole blood is a more accurate test with a relatively good sensitivity and specificity than PT and aPTT. We experienced an unexpected coagulopathy during the perioperative period. The case was a 47-year-old male patient with blood type O who underwent elective spine surgery. Perioperative coagulation tests (PT, aPTT, BT, CT, etc.) were within normal limits. Anesthesia was induced with propofol 90 mg, vecuronium 8 mg and alfentanil 0.5 mg and maintained with 1.0 1.5 vol% enflurane and 50% N2O in O2. Then we performed acute normovolemic hemodilution (ANH) with monitoring pre- and post-hemodilutional TEG. Hemostasis was revealed as abnormal by a pre-hemodilution TEG (CI = -11.06) and post-hemodilution TEG (CI = -13.06). We managed this coagulopathy with blood components and drugs on the basis of a follow-up TEG so that abnormal hemostasis and TEG findings improved (CI = -4.35). We report a case where undetected coagulopathy was revealed and treated successfuly with TEG.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spine
/
Thrombelastography
/
Vecuronium Bromide
/
Alfentanil
/
Propofol
/
Follow-Up Studies
/
Sensitivity and Specificity
/
Enflurane
/
Perioperative Period
/
Hemodilution
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2003
Type:
Article
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