SCCM Resource Library-Bleeding Management in Postoperative Surgical Patients

Video Transcription

Video Summary

The presentation focuses on the recognition and management of postoperative bleeding, an essential topic in surgical and critical care. The speaker highlights that identifying and treating bleeding complications is crucial, referencing their experience as the medical director for a cardiovascular ICU and ECMO program. They differentiate between microvascular (medical) and macrovascular (surgical) bleeding, emphasizing that effective treatment requires correct identification of the bleeding type. The presentation covers associated risk factors, such as pre-existing conditions and surgical procedures like trauma and cardiac surgery, which often lead to microvascular bleeding due to impacts on the coagulation cascade. Important management strategies include communicating with surgical teams, using diagnostic tools like point-of-care ultrasound, and administering blood products cautiously. Massive transfusion protocols aim to stabilize patients without excessive use of crystalloid fluids to avoid dilutional coagulopathy and ensure adequate oxygen delivery.

Asset Caption

One-Hour Concurrent Session | All Bleeding Stops Eventually: A Review of Normal and Abnormal Coagulation

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

postoperative bleeding

microvascular bleeding

cardiovascular ICU

massive transfusion protocols

coagulation cascade

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