PRECONDITIONNEMENT :
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PRECONDITIONNEMENT : T°, pH, Ca, Hte , EXACYL PowerPoint PPT Presentation


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PRECONDITIONNEMENT : T°, pH, Ca, Hte , EXACYL . PRECONDITIONNEMENT : T°, pH, Ca, Hte , EXACYL . Génération de thrombine. Fibrinogène. Plaquettes. Génération de thrombine. Fibrinogène. Plaquettes. Fibrinolyse. CT EXTEM > 80s. A5 FIBTEM < 5mm A10 FIBTEM < 7 mm.

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PRECONDITIONNEMENT : T°, pH, Ca, Hte , EXACYL

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Preconditionnement t ph ca hte exacyl

PRECONDITIONNEMENT : T°, pH, Ca, Hte, EXACYL

PRECONDITIONNEMENT : T°, pH, Ca, Hte, EXACYL

Génération de thrombine

Fibrinogène

Plaquettes

Génération de thrombine

Fibrinogène

Plaquettes

Fibrinolyse

CTEXTEM> 80s

A5 FIBTEM < 5mm

A10 FIBTEM < 7 mm

A10 EXTEM < 40 mm

ET

A10 FIBTEM >10 mm

CTEXTEM> 80s

A5 FIBTEM < 5mm

A10 FIBTEM < 7 mm

A10 EXTEM < 40 mm

ET

A10 FIBTEM >10 mm

PFC

PPSB

Novoseven

FIBRINOGENE

PLAQUETTES

PFC

PPSB

Novoseven

FIBRINOGENE

PLAQUETTES

EXACYL

CT

A5

A10


Preconditionnement t ph ca hte exacyl

CALCIUM1 g/ 4CGR

EXACYL 1 g en 15-30’ puis 1 g/h sur 4-6h

FIBRINOGÈNE

< 50 kg 1,5 g = 1 flacon

50-80 kg 3 g = 2 flacons

> 80 kg 4,5 g = 3 flacons

< 50 kg1,5 g = 1 flacon

50-80 kg3 g = 2 flacons

> 80 kg 4,5 g = 3 flacons

POSOLOGIES

PFC : 10-15 ml/kg

PPSB : 12,5 UI/kg (soit 0,5 ml/kg)

PLAQUETTES : OBJECTIF SI CHOC SÉVÈRE ET/OU TCG > 100G/l

FACTEUR VII ACTIVÉ : 200 mcg/kg +/- 100 mcg/kg, H1 et H2.


Preconditionnement t ph ca hte exacyl

HEMORRAGIE

GRAVE


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