Cirrhosis causes a derangement of all components of coagulopathy. Fortunately, these derangements tend to balance one another out (so the best approach is often to merely observe). However, sometimes imbalances may spin out of control and require aggressive management (e.g. causing hyperfibrinolysis with refractory bleeding).
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Josh is the creator of PulmCrit.org. He is an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
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That was great, dr Farkas. Thank you!
What about recombinant factor VII? Is there a place for it in this situation?
Boucing back on your note about vitamin K : could there be a pro-coagulant risk if over-suplemented ?
Exemple : if giving 10mg while your patient would have only needed 5mg per example.
“Merci”, from France.