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Labs & Monitoring
🧫
Conventional Coag Labs
INR, aPTT, fibrinogen, platelet count
⏱️
ACT
Targets for CPB, ECMO, TAVR, off-pump
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ROTEM
EXTEM, INTEM, FIBTEM, HEPTEM
🎯
Anti-Xa Monitoring
UFH, LMWH targets and interpretation
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TEG 6s
Parameters, interpretation, action thresholds
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HMS
Heparin Management System
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Platelet Function Tests
PFA-100, VerifyNow, TEG platelet mapping
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Iron Studies
Ferritin, TIBC, transferrin sat, CHr
Medications
Anticoagulants
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Heparin
Dosing, monitoring, protocols
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Bivalirudin
HIT alternative, CPB dosing
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Argatroban
HIT, renal failure
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Warfarin
INR targets, perioperative management
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Antiplatelet Therapy
Aspirin, P2Y12, GPIIb/IIIa inhibitors
Reversal Agents
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Protamine
Dosing, reactions, incomplete reversal
🛡️
Tranexamic Acid (TXA)
Cardiac surgery dosing, seizure risk
🛡️
Aminocaproic Acid (Amicar)
Antifibrinolytic, TXA alternative
🛡️
DDAVP (Desmopressin)
vWD, platelet dysfunction, uremia
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3F PCC (Profilnine)
Factor IX, lower thrombotic risk
🔄
4F PCC (Kcentra)
Warfarin reversal, urgent surgery
🛡️
Factor VIIa (NovoSeven / SevenFact)
Refractory hemorrhage, off-label use
🔄
Idarucizumab (Praxbind)
Dabigatran reversal
Blood Products
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pRBC
Thresholds, ordering, special attributes
🩸
Fresh Frozen Plasma
Dosing, indications, thawing time
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Platelets
Thresholds, dosing, refractory thrombocytopenia
🩸
Cryoprecipitate
Fibrinogen, vWF, Factor VIII, XIII
🩸
Fibrinogen Concentrate (RiaSTAP)
Dosing, vs. cryo, FIBTEM guidance
♻️
Cell Salvage
Intraoperative autologous blood recovery
🚨
Massive Transfusion Protocol
Activation criteria, ratios, Duke MTP
Conditions
⚙️
CPB-Associated Coagulopathy
Mechanism, post-bypass bleeding approach
⚠️
HIT
4T score, diagnosis, anticoagulation strategy
⚠️
Heparin Resistance
AT-III deficiency, management options
⚠️
DIC
Diagnosis, consumptive vs. thrombotic, management
⚙️
LVAD-Related Bleeding
GI bleeding, acquired vWD, anticoag management
⚠️
Protamine Reaction
Types, prevention, management
🩸
Transfusion Reactions
TRALI, TACO, hemolytic, febrile
💊
Warfarin & Bridging
Perioperative management, reversal, restart
✋
Blood Refusal (Jehovah's Witness)
Documentation, acceptable interventions, conservation
Procedures
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ANH
Acute normovolemic hemodilution
🔄
Plasma Exchange
TTP, HIT with thrombosis, indications
⚙️
Preoperative Optimization
Anemia, iron, ESAs, anticoag management