recommendation Early algorithm-based coagulation management protocols have reduced transfusion rates and mortality of multiple injured patients ( 40 , 41 , 42 ). New data None. Discussion A recently published retrospective study observed that
Marcel Niemann, Ellen Otto, Christian Eder, Yasmin Youssef, Lutz Kaufner, and Sven Märdian
Richard Peter Almeida, Lipalo Mokete, Nkhodiseni Sikhauli, Allan Roy Sekeitto, and Jurek Pietrzak
highlighted by an online survey of the Netherlands Orthopaedic Association, which reported that 59.1% of surgeons allowed three to seven days of PWD before starting non-surgical management while 44.1% intervened surgically only after 10 days of PWD after index
Rafik Yassa, Mahdi Yacine Khalfaoui, Ihab Hujazi, Hannah Sevenoaks, and Paul Dunkow
Association (BOA) similarly recommends that surgery should not be delayed by > 48 hours. 11 The urgency for surgical management of hip fractures specifically varies according to fracture type, morphology and patient age, with urgent (less than six hours
Ioannis V. Papachristos and Peter V. Giannoudis
target reversal. Therefore, simply stopping warfarin can take up to five days to achieve an acceptable coagulation state. 25 This ‘wait and see’ approach is not considered acceptable nowadays with the proven benefits of early surgery. The risk of
Bülent Atilla and Hande Güney-Deniz
Introduction Haemophilia is a rarely seen, X-linked recessive coagulation disorder in which deficiencies of certain clotting factors are the cause of haemorrhage with minor trauma or surgery. The three types of haemophilia are haemophilia A, B
Elena Bravo, Raul Barco, and E. Carlos Rodríguez-Merchán
Introduction Haemophilia is a hereditary recessive disease linked to sex, causing a coagulation disorder characterized by bleeding episodes, which can be spontaneous or as a result of minor trauma. There are two types of haemophilia: type A
Dieter Wirtz and Hendrik Kohlhof
orthopaedic procedures, older adult patients, especially with co-morbidities, need a more intensive level of care than younger patients during the pre- peri- and post-operative periods. 2 – 4 Pre-operative management In the pre-operative period the
Petros Mikalef and Dominic Power
bipolar coagulation proximally to prevent regrowth. The branches or fascicles to be resected were chosen using nerve stimulation, and further electrical stimulation after the resection was used as a subjective measure of adequacy of denervation. Spasticity
E. Carlos Rodríguez-Merchán
provision of the missing coagulation factor, haemorrhages can be controlled and conservative orthopaedic management can usually terminate the episode without any long-term complications. Should the haemorrhage persist or a re-bleed occur, intra
Marilena Giannoudi and Peter V Giannoudis
study, therefore, we examine the latest evidence on the management of elderly patients with hip fractures requiring surgery taking anticoagulants in terms of reversal protocols, their impact on the timing of surgery and outcomes. Platelet