0
votes
0answers
17 views
XIGRIS (Activated protein C) how many still think that it works ? Is it a dying drug or Xigris works in sepsis ??
what is the evidence ?
Enhace trial
Prowess
trial
Address trial
APACHE score 25 or more means patients is almost died then why to give? (SSC guideline2008)
what does all th …
2
votes
2answers
51 views
Does SSRI use increase perioperative blood loss?
An orthopedic surgeon commented to me today that he (anecdotally) sees more intraoperative bleeding in patients taking serotonergic antidepressants than those not on these antidepr …
4
votes
2answers
31 views
Synthetic blood substitutes — are we there yet?
A recent trauma case involving major hemorrhage, along with this question on gasexchange, have me wonder whether the promise of a synthetic blood substitute is any closer?
I remem …
2
votes
1answer
22 views
Has anyone come across rivaroxaban yet?
I've been hearing a bit about rivaroxaban (Xarelto) but haven't come across any patients on it as yet. Does anyone have an idea of what sort of role it will play? Will it replace w …
3
votes
4answers
27 views
Is it ethical to not anaesthetise a patient refusing a blood transfusion?
I have been referred a 51 year old with a somewhat-stable ruptured kidney following a fall from a bicycle four days earlier. Other than some soft tissue bruising, the man suffered …
3
votes
1answer
24 views
Low-molecular weight heparin: how long before and after neuraxial block?
I recently had a case that made be consider: is there any evidence or formal guidelines for the timing of low-molecular weight heparin (and other anti-coagulants) before and after …
2
votes
1answer
12 views
When should recombinant Activated Factor VII be used in obstetric hemorrhage?
The use of rFVIIa in severe postpartum hemorrhage is still an off-label use and remains controversial.
When is the most appropriate time to use rFVIIa and what are the intraoperat …
3
votes
1answer
12 views
How does cross-matching work for fresh frozen plasma?
I'm confused after something that happened today. I was involved in a re-do total hip replacement that had a lot of bleeding. We ended up transfusing 10 units of red cells and then …


