Case Report. Non-Obvious, Post-Traumatic, Life-Threatening Bleeding in Two Elderly Patients

Rafael García Carretero

doi:10.1515/jccm-2017-0012

.blurhash-client-img { display: none !important; }

Case Report. Non-Obvious, Post-Traumatic, Life-Threatening Bleeding in Two Elderly Patients

The Journal of Critical Care Medicine

Volume 3 (2017): Issue 2 (April 2017)

By: Rafael García Carretero

Open Access

|May 2017

Abstract

The main complication of anticoagulant therapy is major bleeding. Clinicians are usually aware of these side effects and are careful when managing the therapeutic range of vitamin K antagonist drugs. But major bleeding, while lifethreatening, can be overlooked if there are no visible signs of bleeding. Two cases are described in which inaccurate diagnoses lead to inadequate treatment.

References

1. Camm AJ, Lip GYH, De Caterina R, et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association. Eur Heart J. 2012;33:2719 -47. doi: 10.1093/eurheartj/ehs253
Open DOI Search in Google Scholar Back to article
2. Holbrook A, Schulman S, Witt DM, et al. Evidence-based management of anticoagulant therapy: Antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141:e152S-e184S. doi: 10.1378/chest.11-2295.
Open DOI Search in Google Scholar Back to article
3. Garcia D, Crowther MA, Ageno W. Practical management of coagulopathy associated with warfarin. BMJ. 2010;340:c1813. doi: 10.1136/bmj.c1813.
Open DOI Search in Google Scholar Back to article
4. Ufer M. Comparative Pharmacokinetics of Vitamin K Antagonists: warfarin, phenprocoumon and acenocoumarol. Clin Pharmacokinet. 2005;44:1227-46. doi: 10.2165/00003088-200544120-00003
Open DOI Search in Google Scholar Back to article
5. Villena Garrido V, Cases Viedma E, Fernandez Villar A, et al. Recommendations of diagnosis and treatment of pleural effusion. Update. Arch Bronconeumol. 2014;50:235-49. doi: 10.1016/j.arbres.2014.01.016.
Open DOI Search in Google Scholar Back to article
6. Huggins JT, Sahn SA. Causes and management of pleural fibrosis. Respirology. 2004;9:441-7. doi: 10.1111/j.1440-1843.2004.00630.x
Open DOI Search in Google Scholar Back to article

Articles in this issue

DOI: https://doi.org/10.1515/jccm-2017-0012 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809

Journal RSS Feed

Language: English

Page range: 79 - 83

Submitted on: Feb 22, 2017

Accepted on: Apr 19, 2017

Published on: May 11, 2017

Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

Vitamin K antagonists,

major bleeding,

prothrombin complex concentrate

Related subjects:

Medicine,

Clinical medicine,

Internal medicine,

Internal medicine, other,

Surgery,

Surgery, other,

Anaesthesiology,

Emergency medicine and intensive-care medicine

© 2017 Rafael García Carretero, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Volume 3 (2017): Issue 2 (April 2017)