Publications by authors named "G J A J M Kuiper"
Comparison of the Quantra QPlus and ROTEM Goal-Directed Transfusion Protocols in Cardiothoracic Surgery Patients: A Prospective Observational Study.
J Cardiothorac Vasc Anesth
November 2024
Article Synopsis
- The study aimed to compare the transfusion recommendations of two treatment protocols: Quantra QPlus and ROTEM, specifically in patients undergoing elective cardiopulmonary bypass surgery.
- Researchers analyzed 100 samples from patients post-surgery, finding that the transfusion advice from the two protocols showed poor agreement overall and for specific transfusion needs like fibrinogen.
- The results indicate that the Quantra QPlus protocol may recommend unnecessary transfusions in non-bleeding patients, while it occasionally suggests transfusions when ROTEM does not, highlighting the need for adjustments in the Quantra QPlus protocol.
Air pollution exposure is associated with adverse respiratory health outcomes. Evidence from occupational and community-based studies also suggests agricultural pesticides have negative health impacts on respiratory health. Although populations are exposed to multiple inhalation hazards simultaneously, multidomain mixtures (e.
View Article and Find Full Text PDFBackground: Critically ill COVID-19 patients are at risk for venous thromboembolism (VTE). Therefore, they receive thromboprophylaxis and, when appropriate, therapeutic unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH). To monitor heparins in COVID-19 disease, whole-blood rotational thromboelastometry (ROTEM) may be a promising alternative to the aPTT and anti-Xa assays.
View Article and Find Full Text PDFObjectives: Literature is scarce on the management of patients using direct oral anticoagulants (DOACs) undergoing elective, urgent and emergency surgery. Therefore, we summarize the current evidence and provide literature-based recommendations for the management of patients on DOACs in the perioperative phase.
Methods: A general literature review was conducted on the pharmacology of DOACs and for recommendations on the management of cardiac surgical patients on DOACs.