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