Korean J Anesthesiol.  1997 Oct;33(4):757-761. 10.4097/kjae.1997.33.4.757.

Intraoperative Coagulation Management by TEG in a Patient with Aplastic Anemia: A case report

• Baek JE
• Kim SB
• Kwak HS

• KMID: 2237739
• DOI: http://doi.org/10.4097/kjae.1997.33.4.757

Abstract

This case was an acquired aplastic anemia patient who required a major operation for excision of a mediastinal mass. The authors previewed that the coagulation abnormalities would be developed due to major operation. Thus we decided to monitoring the coagulation function using the thromboelastography during the perioperative period and checked the complete blood count, concommitantly. The total blood volume lost during operation was 1800 ml, so we gave him a transfusion of 10 U's of platelet concentrate, 10 U's of pheretic platelet rich plasma and 5 U's of whole blood. The thromboelastography was a good guide that helped us to avoid excessive treatment of the coagulation abnormalities. We concluded that the thromboelastograhy was a reliable and effective monitoring system at the intraoperative coagulation management.

Keyword

Anesthesia, general; Blood, anemia, aplastic; Monitoring, coagulation, thromboelastography

MeSH Terms

Anemia, Aplastic*
Anesthesia, General
Blood Cell Count
Blood Platelets
Blood Volume
Humans
Perioperative Period
Platelet-Rich Plasma
Thrombelastography