Autor: |
M, Brémaud, E, De Maistre, E, Junke, A, Guerci, J-M, Lalot, D, Longrois, T, Lecompte, C, Meistelman |
Jazyk: |
francouzština |
Rok vydání: |
2003 |
Předmět: |
|
Zdroj: |
Annales francaises d'anesthesie et de reanimation. 23(1) |
ISSN: |
0750-7658 |
Popis: |
We report a case of Budd-Chiari syndrome revealing a polycythemia vera and complicated by heparin-induced thrombocytopenia. A surgical porto-caval shunt was inserted with danaparoid as anticoagulant during the peri-operative period. The doses of danaparoid were as follows: a continuous intravenous infusion of 200 U/h with a target between 0.5 et 0.8 U/ml antifactor Xa activity during the preoperative period, followed by 100 U/h with a target of 0.3 U/ml during the peroperative period; an increase in doses of danaparoid to 150 and 200 U/h with a target above 0.5 U/ml was used during the postoperative period. This case report is a rare situation of hypercoagulable state, in a surgical context, treated with danaparoid. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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