Hemostasis and Thrombosis

21st Annual NATA Symposium

21st Annual NATA Symposium, Athens 2020The 21st Annual NATA Symposium on Patient Blood Management, Haemostasis and Thrombosis will take place on April 23-24, 2020 in Athens, Greece.

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21st Annual Symposium General Information

Focused Update: European Society of Anesthesiology Guidelines on the Management of Severe Perioperative Bleeding

European Society of Anesthesiology (ESA) guidelines on the management of severe perioperative bleeding (POB) were published recently.

In a Nataonline Focused Update, Prof. Kozek-Langenecker, Department of Anesthesia and Intensive Care, Evangelical Hospital Vienna, Vienna, Austria, and first author of the article published in the European Journal of Anaesthesiology, provides an overview of the recommendations.

The basis of clinical questions covered in the ESA guidelines is wide, she explains. POB management is not restricted to procoagulant strategies in overt POB but also includes patient optimization before, during and after bleeding. A web-app summarizing the key messages of the guidelines is available on the ESA website.

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From the Literature

Oct 23, 2019

Published: Nov 2019

Bonnet A, Gilquin N, Steer N, et al.

The use of a thromboelastometry-based algorithm reduces the need for blood product transfusion during orthotopic liver transplantation: A randomised controlled study.
Eur J Anaesthesiol 2019;36:825-833.

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NATA REVIEW:
Orthotopic liver transplants have come a long way over the past several decades. While we have solved a myriad...
REVIEW by:
E. Adams

Published: Sep 2019

Nellis ME, Tucci M, Lacroix J, et al.

Bleeding Assessment Scale in Critically Ill Children (BASIC): physician-driven diagnostic criteria for bleeding severity.
Crit Care Med 2019; Sep 25 [Epub ahead of print].

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NATA REVIEW:
This is the first ever bleeding assessment scale developed for the evaluation of bleeding in critically ill children....
REVIEW by:
E. Adams

Published: Sep 2019

Roquet F, Neuschwander A, Hamada S, et al.

Association of early, high plasma-to-red blood cell transfusion ratio with mortality in adults with severe bleeding after trauma.
JAMA Netw Open 2019;2:e1912076.

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NATA REVIEW:
Roquet et al. report the results of a large retrospective trauma registry study on optimal FFP to RBC...
REVIEW by:
A. P. J. Vlaar

Published: Sep 2019

Callum JL, Yeh CH, Petrosoniak A, et al.

A regional massive hemorrhage protocol developed through a modified Delphi technique.
CMAJ Open 2019;7:E546-E561.

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NATA REVIEW:
The authors noted that large academic centres are very likely to have a massive haemorrhage protocol (MHP) but...
REVIEW by:
E. Adams

Published: Sep 2019

Downey LA, Andrews J, Hedlin H, et al.

Fibrinogen concentrate as an alternative to cryoprecipitate in a postcardiopulmonary transfusion algorithm in infants undergoing cardiac surgery: a prospective randomized controlled trial.
Anesth Analg 2019; Sep 3 [Epub ahead of print].

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NATA REVIEW:
This is an excellent multicentre prospective randomised trial evaluating the efficacy of fibrinogen concentrate...
REVIEW by:
E. Adams

Published: Aug 2019

Porter SB, White LJ, Osagiede O, Robards CB, Spaulding AC

Tranexamic acid administration is not associated with an increase in complications in high-risk patients undergoing primary total knee or total hip arthroplasty: a retrospective case-control study of 38,220 patients.
J Arthroplasty 2019; Aug 17 [Epub ahead of print].

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NATA REVIEW:
This study was designed to examine whether tranexamic acid, which is a well-established therapy to reduce postoperative...
REVIEW by:
M. T. Prochaska