Normal Haemostasis, Inherited Bleeding Disorders and Surgery: What Does the Anaesthesiologist Need to Know?

Haemostasis is a critical physiological process that ensures blood loss is minimised following vascular injury. Understanding the mechanisms of normal haemostasis is essential for managing patients with inherited bleeding disorders, particularly in the surgical setting. Inherited bleeding disorders,...

Full description

Saved in:
Bibliographic Details
Main Authors: Mihai Ștefan, Daniela Filipescu, Cornelia Predoi, Liana Văleanu, Ștefan Andrei, Dana Tomescu
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/61/6/1087
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Haemostasis is a critical physiological process that ensures blood loss is minimised following vascular injury. Understanding the mechanisms of normal haemostasis is essential for managing patients with inherited bleeding disorders, particularly in the surgical setting. Inherited bleeding disorders, such as haemophilia and von Willebrand disease (vWD), pose unique challenges for anaesthesiologists and surgeons due to the increased risk of excessive bleeding during and after surgery. This state-of-the-art review outlines the essential knowledge for anaesthesiologists regarding normal haemostasis, the pathophysiology of inherited bleeding disorders, and the perioperative management strategies required for these patients. It draws on existing literature and current clinical guidelines to offer practical approaches for assessing and managing bleeding risks in surgical settings.
ISSN:1010-660X
1648-9144