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J Surg Educ. 2013 May-Jun;70(3):423-31. doi: 10.1016/j.jsurg.2012.12.006.

Bleeding diatheses and preoperative screening.

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Department of Surgery, Yale University School of Medicine, New Haven, Connecticut 06520-8062, USA.


Bleeding disorders pose a significant perioperative risk. Surgeons and surgical consultants should have a working knowledge of the cell-based coagulation model. Careful screening for bleeding diatheses begins with a careful history and physical examination. It is paramount to ascertain what medications and nonprescribed supplements and herbal preparations a patient is taking, as these medications can have significant effects on perioperative bleeding tendencies. Finally, screening laboratory-based coagulation assays are available. These must be used judiciously with regard to a patient's history and the clinical circumstances surrounding the surgical stressor.

[Indexed for MEDLINE]

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