The accreditors of this session require that you periodically check in to verify that you are still attentive. Please click the button below to indicate that you are.
Credits: None available.
Managing bleeding patients in heart transplantation and high-risk cardiac surgery is a constant challenge. Considerable experience has been accumulated over the years in transfusion support and perioperative therapies in high risk cardiac surgery. Other tertiary medical centers in the US and Canada also perform such increasingly complex high risk surgeries associated with predictable and unpredictable bleeding that demand close transfusion support, coagulation testing, and decisions on perioperative therapies.
How best to manage clinical bleeding through targeted blood product utilization remains controversial. Transfusion algorithms can be useful, but applied in a dynamic surgical setting, the time it takes to obtain coagulation results, order appropriate products and administer them may be too long, forcing clinicians to rely on intuition and empiric treatment. Perioperative management complexities include the increased use of mechanical perfusion devices that require anticoagulation, increased application of antiplatelet agents, newer classes of anticoagulants, and point of care testing.
One speaker will be a transfusion medicine specialist addressing specific issues in blood product ordering and utilization in heart transplantation and high-risk cardiac surgery; the second speaker (an anesthesiologist) will discuss challenges in the operating room in mediating decisions about laboratory test results and ordering of blood products and decision about perioperative therapies.
All relevant financial relationships have been mitigated.
Octapharma Canada: Consultant
CSL Behring: Honoraria
Canadian Blood Services: Grant/Research Support
Takeda Canada: Honoraria
Thermo-Fisher: Grant/Research Support
Hemerus Medical LLC: Grant/Research Support
AstraZeneca: Speaker Honorarium, Advisory Board
Pfizer Canada: Honorarium, Consultant
By completing the evaluation, you are attesting to watching the presentation in its entirety. A certificate will be immediately provided after submission.