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Svårkontrollerad blödning vid kirurgi - praktiska åtgärder
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences. (vascular surgery)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences. (vascular surgery)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology, Radiology.
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2007 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 104, no 6, 407-411 p.Article in journal (Refereed) Published
Abstract [en]

Difficult-to-control intraoperative bleeding--practical measures

Bleeding with difficulties obtaining haemostasis can be a catastrophe. This paper summarizes a symposium with the above title. A short introduction gives the background of normal haemostasis as well as iatrogenic vascular injuries as reflected in the Swedish vascular registry (Swedvasc). Practical guidelines are given on how to manage situations of severe haemorrhage with the help of pharmacological substances, local haemostatics, endovascular methodology and open surgery.

Abstract [sv]

Hemostasanamnes är viktig att ta upp vid blödning.

Vid »icke-kirurgisk« blödning finns det flera substanser för systembruk – prohemostatika, antifibrinolytika, koagulationsfaktorer och medel att reversera effekt av antikoagulantia – som är värdefulla.

Lokala hemostashjälpmedel har olika funktion och har sina specifika indikationsområden beroende på blödningstyp.

Preparat av animalt ursprung bör brukas med försiktighet.

Endovaskulära metoder har utvecklats, och ett intimt samarbete med interventionister är viktigt (embolisering, täckt stent, ballongocklusion).

Kirurgisk hemostas är ofta svår. Anatomisk friläggning, bra assistans och specifika instrument underlättar.

Place, publisher, year, edition, pages
2007. Vol. 104, no 6, 407-411 p.
Keyword [en]
Blood Loss, Surgical/physiopathology/prevention & control, Blood Vessels/injuries, Hemostasis/physiology, Hemostasis, Surgical/*methods, Hemostatics/administration & dosage, Humans, Iatrogenic Disease, Vascular Surgical Procedures/methods
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-15057PubMedID: 17373286OAI: oai:DiVA.org:uu-15057DiVA: diva2:42828
Available from: 2008-02-04 Created: 2008-02-04 Last updated: 2017-12-11Bibliographically approved

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Bergqvist, DavidBjörck, MartinNyman, Rickard

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