Life-threatening Bleeding - 2018

Olga Smékalová, MD, Michaela Brázdilová, Jan Sapák

Life-threatening bleeding can be defined in many aspects: by extent of blood loss, by the presence of clinical and laboratory signs of tissue hypoperfusion or signs of organ functions failure. Sometimes bleeding is not associated with major blood loss, but it threatens the life by localization of bleeding to the regions important for maintaining vital functions (eg. brain). In our algorithm we pursue bleeding from esophageal varices, which are frequent complication of hepatic cirrhosis. The goal of this algorithm is to show you the right steps and resolution of the therapy of life-threatening bleeding.  

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Ivana Zýková, MD Chief Physician of ICU, Department of Anesthesiology and Intensive Care, Regional hospital Liberec, Liberec

Bleeding from esophageal varices is life threatening and belongs to the most serious complications of portal hypertension. Interactive algorithm based on current guidelines leads investigators through prehospital and hospital management of treatment. Emphasis should be placed on ensuring vital functions, volume expansion and haemosubstitution, and correction of coagulopathy according to viscoelastic methods and, of course, to stop bleeding itself.

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KOZEK-LANGENECKER, Sibylle A., et al. Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology: First update 2016. European Journal of Anaesthesiology (EJA), 2017, 34.6: 332-395.

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ŠEVČÍK, Pavel, et al. Intenzivní medicína. 3., přeprac. a rozš. vyd. Praha: Galén, 2014. 1195 s. ISBN 978-80-7492-066-0.

inserted: 3. 7. 2018 | last modified on: 28. 5. 2020

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