MODERATOR
:
Kenneth D. Friedman, MD, Medical Director, Hemostasis Reference Laboratory, Blood Center of Southeastern Wisconsin
SPEAKER
(S):
Jonathan Waters, MD, Chief, Anesthesia Services, Magee Womens Hosp. of Univ. of Pitts. Med. Center
Arthur Bracey, MD, Medical Director Transfusion Services, St. Luke's Episocopal Hospital/Texas Heart Institu
Mark Crowther, MD, MSc, FRCPC, Professor, Division of Hematology and Thromboembolism, McMaster University
The Bleeding Patient on Anti-Thrombotic Therapy: How Should the Transfusion Service Respond?
Description
Transfusion Services are commonly asked to provide advice and/or blood products in order to acutely reverse the effects of antithrombotic therapy. Multiple factors influence the choice of intervention, including the patient's clinical situation, the mechanism of action of the patient's antithrombotic therapy, the extent of antithrombotic effect at the time the patient presents, and whether a specific agent or non-specific agent is available to antagonize the antithrombotic agent. In this session, cases will be used to highlight key issues related to urgent reversal of vitamin-K antagonist medication, management of bleeding or perioperative patients receiving antiplatelet agents, and the use of near-patient testing to guide hemostatic support in the surgical suite.
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Assess the role of vitamin supplementation, coagulation factor concentrates and plasma therapy in the acute reversal of anticoagulant effect.
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Determine the mechanism of action and duration of effect of commonly used antiplatelet therapies, and in which settings platelet transfusion therapy is reasonable.
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Recognize the diversity of near-patient testing techniques used during operative monitoring, and how this data is supporting decisions for transfusion support.
CE Category | CE Value |
---|
California Clinical Laboratory Personnel |
1.5 |
California Nurse |
1.8 |
Florida Laboratory Personnel |
1.8 |
General Attendee |
1.5 |
Physician |
1.5 |
Please note: Continuing education (CE) credit is available for online offerings only. Individuals that purchase CD-ROMs will not receive CE credit for the programs they view.