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  • Title: [Which assessment of coagulation, for which operation?].
    Author: Alexandre P, Borgo J, Sadoul N, Briquel ME.
    Journal: Cah Anesthesiol; 1986; 34(5):407-11. PubMed ID: 3779483.
    Abstract:
    Patient's bleeding history is an important part of preoperative evaluation but must be associated with hemostatic tests. The choice in between these different hemostatic tests will be made according to the knowledge of the bleeding history and; the type of surgery planned. In case of hemostatic abnormality, additional tests can be performed in order to determine a more precise state of the patient's hemostatic dysfunction. However, complete preoperative hemostatic evaluation (including patient's bleeding history and blood tests) may not entirely avoid per and post-operative hemostatic complications. Indeed, there is no absolute correlation between hemostatic screening and bleeding or thrombosis risks. Some other factors, completely independent from hemostatic function, such as shock, surgical bleeding, anoxia... may intervene.
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