| Hypothermia as a cause of coagulopathy during hepatectomy. | |
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MedLine Citation:
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PMID: 20643371 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a 27-year-old hemostatically competent female scheduled for partial hepatectomy. During the operation, she experienced an accidental inferior vena cava tear and suffered acute blood loss. After fluid resuscitation and blood transfusion, she developed hypothermia, with a temperature of 33.8 degrees C, and severe coagulopathy with activated clotting time exceeding 1500 seconds measured using the Hemochron Response system (ITC, Edison, NJ, USA). Despite sufficient blood transfusion and correction of her electrolyte imbalance, the poor hemostasis persisted. After per-forming peritoneal lavage with warm saline, her condition dramatically improved and her hypothermia and severe coagulopathy were reversed. |
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Authors:
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Albert Wai-Cheung Lau; Chia-Chen Chen; Rick Sai-Chuen Wu; Kin-Shing Poon |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists Volume: 48 ISSN: 1875-452X ISO Abbreviation: Acta Anaesthesiol Taiwan Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-07-20 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101214918 Medline TA: Acta Anaesthesiol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 103-6 Citation Subset: IM |
Copyright Information:
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2010 Taiwan Society of Anesthesiologists. Published by Elsevier B.V. All rights reserved. |
Affiliation:
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Department of Anesthesia, Pain Service and Critical Care Medicine, China Medical University Hospital, Taichung, Taiwan, R.O.C. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blood Coagulation Disorders / etiology* Female Hepatectomy / adverse effects* Hetastarch Humans Hypothermia / complications* |
| Chemical | |
Reg. No./Substance:
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9005-27-0/Hetastarch |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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