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Anaes VivasCardiac anaesthesia & cardiopulmonary bypass

Anaes Vivas · Cardiac anaesthesia & cardiopulmonary bypass

Clinical viva — the post-CPB coagulopathy

A clinical viva on the post-CPB coagulation — the causes (the haemodilution, the platelet dysfunction, the residual heparin, the fibrinolysis, the surgical); the viscoelastic-guided products (the platelets, the FFP, the cryo, the TXA); the surgical re-exploration; and the cell salvage.

clinical1 min readVerification in progress

Target exams

ANZCAFRCAABAEDAIC
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Target exams

ANZCAFRCAABAEDAIC
Prompt
A junior colleague asks how you manage the bleeding after the CPB. Walk them through the assessment and the treatment.

Stimulus

A junior colleague asks how you manage the bleeding after the CPB. Walk them through the assessment and the treatment.

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Anaesthesia fellowship library.

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References2ShowHide
  1. [3]Levy JH, et al. What's fishy about protamine? Clinical use, adverse reactions, and potential alternatives. J Thromb Haemost, 2023.PMID 37062523
  2. [4]Zheng C, et al. Microcirculation dysfunction and cardioprotection. Front Cardiovasc Med, 2026.PMID 42325669
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