Evaluación preoperatoria de la hemostasia.
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| Title: | Evaluación preoperatoria de la hemostasia. |
|---|---|
| Authors: | Vargas-Ruiz, Ángel Gabriel1 gelocoa@hotmail.com |
| Source: | Revista Medica del IMSS. 2012, Vol. 50 Issue 3, p261-266. 6p. |
| Subjects: | HEMOSTASIS, PREOPERATIVE period, PROTHROMBIN time, PARTIAL thromboplastin time, HEMORRHAGE, PLATELET count, DISEASE susceptibility |
| Abstract (English): | Identify which patients are going to bleed during a surgery or invasive procedure is desirable. The coagulation tests as the prothrombin time (PT), the activated partial thromboplastin time (aPTT), bleeding time (BT) and platelet count are routinely made with this purpose in the preoperative evaluation. But, really these laboratory tests can predict what patients are going to bleed? The answer with the current knowledge is: No. The most efficient method for prediction of bleeding is the clinical history, but still, most surgical bleeding are not by coagulopathy, they are caused by factors related to surgical technique, and therefore are not susceptible to be predicted. This article describes the recommendations for the assessment of bleeding risk prior to surgery or invasive procedures and discusses the value of preoperative coagulation tests. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Es deseable identificar qué paciente va a sangrar en una cirugía o procedimiento invasivo. Con este fin, en la valoración preoperatoria son solicitadas rutinariamente las pruebas de coagulación como el tiempo de protrombina, el tiempo de tromboplastina parcial activada, el tiempo de sangrado y el conteo plaquetario. Pero, ¿realmente estos exámenes de laboratorio predicen quién sangrará? A la luz de los conocimientos actuales, la respuesta es no. Las mejores herramientas para predecir el riesgo de sangrar en un procedimiento quirúrgico son el interrogatorio y la exploración física, sin embargo, la mayoría de los sangrados no se debe a coagulopatía sino a factores relacionados con la técnica quirúrgica y, por lo tanto, no son susceptibles de predicción. En este artículo se describen las recomendaciones para la evaluación del riesgo de sangrado previo a cirugías o a procedimientos invasivos y se discute el valor de los exámenes preoperatorios de la hemostasia. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 87049618 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluación preoperatoria de la hemostasia. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Vargas-Ruiz%2C+Ángel+Gabriel%22">Vargas-Ruiz, Ángel Gabriel</searchLink><relatesTo>1</relatesTo><i> gelocoa@hotmail.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Medica+del+IMSS%22">Revista Medica del IMSS</searchLink>. 2012, Vol. 50 Issue 3, p261-266. 6p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HEMOSTASIS%22">HEMOSTASIS</searchLink><br /><searchLink fieldCode="DE" term="%22PREOPERATIVE+period%22">PREOPERATIVE period</searchLink><br /><searchLink fieldCode="DE" term="%22PROTHROMBIN+time%22">PROTHROMBIN time</searchLink><br /><searchLink fieldCode="DE" term="%22PARTIAL+thromboplastin+time%22">PARTIAL thromboplastin time</searchLink><br /><searchLink fieldCode="DE" term="%22HEMORRHAGE%22">HEMORRHAGE</searchLink><br /><searchLink fieldCode="DE" term="%22PLATELET+count%22">PLATELET count</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+susceptibility%22">DISEASE susceptibility</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Identify which patients are going to bleed during a surgery or invasive procedure is desirable. The coagulation tests as the prothrombin time (PT), the activated partial thromboplastin time (aPTT), bleeding time (BT) and platelet count are routinely made with this purpose in the preoperative evaluation. But, really these laboratory tests can predict what patients are going to bleed? The answer with the current knowledge is: No. The most efficient method for prediction of bleeding is the clinical history, but still, most surgical bleeding are not by coagulopathy, they are caused by factors related to surgical technique, and therefore are not susceptible to be predicted. This article describes the recommendations for the assessment of bleeding risk prior to surgery or invasive procedures and discusses the value of preoperative coagulation tests. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Es deseable identificar qué paciente va a sangrar en una cirugía o procedimiento invasivo. Con este fin, en la valoración preoperatoria son solicitadas rutinariamente las pruebas de coagulación como el tiempo de protrombina, el tiempo de tromboplastina parcial activada, el tiempo de sangrado y el conteo plaquetario. Pero, ¿realmente estos exámenes de laboratorio predicen quién sangrará? A la luz de los conocimientos actuales, la respuesta es no. Las mejores herramientas para predecir el riesgo de sangrar en un procedimiento quirúrgico son el interrogatorio y la exploración física, sin embargo, la mayoría de los sangrados no se debe a coagulopatía sino a factores relacionados con la técnica quirúrgica y, por lo tanto, no son susceptibles de predicción. En este artículo se describen las recomendaciones para la evaluación del riesgo de sangrado previo a cirugías o a procedimientos invasivos y se discute el valor de los exámenes preoperatorios de la hemostasia. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 6 StartPage: 261 Subjects: – SubjectFull: HEMOSTASIS Type: general – SubjectFull: PREOPERATIVE period Type: general – SubjectFull: PROTHROMBIN time Type: general – SubjectFull: PARTIAL thromboplastin time Type: general – SubjectFull: HEMORRHAGE Type: general – SubjectFull: PLATELET count Type: general – SubjectFull: DISEASE susceptibility Type: general Titles: – TitleFull: Evaluación preoperatoria de la hemostasia. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Vargas-Ruiz, Ángel Gabriel IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: 2012 Type: published Y: 2012 Identifiers: – Type: issn-print Value: 04435117 Numbering: – Type: volume Value: 50 – Type: issue Value: 3 Titles: – TitleFull: Revista Medica del IMSS Type: main |
| ResultId | 1 |
