Pre-interventional haemostatic assessment: Guidelines from the French Society of Anaesthesia and Intensive Care.

Bonhomme F, Ajzenberg N, Schved JF, Molliex S, Samama CM
Eur J Anaesthesiol 2013;30:142-162.
NATA Rating :
Review by : J.-F. Hardy
NATA Review

On behalf of the French Society of Anesthesia and Intensive Care (SFAR), the authors conducted a systematic review of the literature and present their recommendations for the prescription of routine preoperative assessment of hemostasis before a surgical or non-surgical procedure requiring any type of anesthesia.

In essence, it is recommended that bleeding risk should be assessed based on personal and family history and physical examination. Routine tests have a low positive predictive value for bleeding risk and should not be requested in the absence of symptoms. Possible exceptions are children who are not yet walking and non-interviewable adults. In the presence of a history of bleeding, specialist advice should be sought.

Such recommendations are not new but the message has to be repeated on a regular basis….

– Jean-François Hardy

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