There’s A New Player in Town: Kcentra Rx for Postoperative CPB Induced Coagulopathy

Editor’s Note: Had a pretty routine CABG x something the other day, and encountered a postoperative coagulopathy, functional platelet count at roughly 72 (Platelet Works), and instead of going down our traditional Factor VII tunnel, we opted to use Kcentra,  a member of a relatively new category of drugs classified as a Prothrombin Complex Concentrates (PCC). […]

Why is my Patient Bleeding? A Snapshot of Hemostasis

To view source article and take the Quiz- click on image above 🙂 Editor’s Note: Having just finished a case where we used Angiomax as our heparin substitute, I felt that the anticoagulation pathway, is truly a complex animal, and deserves a closer review. We have all revisted this pathway intensively throughout our careers, and of course, […]

Bar Graphs & Blood Banks…

“Red cell transfusion rates for CPB patients are the highest and most variable amongst all surgical patients.” Editor’s Note: This discussion comes up so often, it borders on the ridiculous- because there has never really been any closure or academic consensus regarding transfusion thresholds- and the point at which we decide we are “going to […]