Clinical pathway for early postoperative care

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• Cryoprecipitate.• Contains fibrinogen, factor VIII, vWF andfactor XIII.• 1 unit is 20 to 25cc.• Usually given pooled as 8 to 10 units <strong>for</strong> suspectedor confirmed hypofibrinogenemia.
• Antifibrinolytic agents.• Episilon-aminocaproic acid (AMICAR), tranexemicacid, or aprotinin.• Inhibit conversion of plasminogen to plasmin thuspreventing activation of fibrinolysis.• Ideally should confirm fibrinolysis be<strong>for</strong>e use (elevated D-dimers, low fibrinogen).• Risk of thrombosis including acute graftthrombosis, DVT, PE.
Page 1 and 2: Wariya Sukhupragarn, MD.Assistant P
Page 3 and 4: • Improve patient flow• Reduce
Page 6 and 7: • Early postoperative tracheal ex
Page 9 and 10: • Patient background (age, sex)
Page 11 and 12: • Need for cardiac pacing• Use
Page 14 and 15: • Assure that the endotracheal tu
Page 16 and 17: • Examine heart sounds. Listen fo
Page 19: Raspunde: Seful Serviciului Rutier-
Page 22 and 23: http://www.med-ed.virginia.edu/cour
Page 24 and 25: http://www.medscape.com/viewarticle
Page 27 and 28: • CPB is usually accompanied by h
Page 29 and 30: • Medical bleeding• Surgical bl
Page 31 and 32: • Residual heparin effect• Qual
Page 33 and 34: • Desmopressin (Minirin, DDAVP)
Page 35: • Fresh Frozen Plasma.• Normall
Page 40 and 41: 1. BP = CO x SVR2. CO = HR x SV (st
Page 42 and 43: 1. Adrenergic (catecholamine)• Do
Page 44: 1. Adrenergic (catecholamine)• No

Clinical pathway for early postoperative care

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