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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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iSepsis – Understanding Lactate

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martes, 6 de diciembre de 2016

Sepsis-induced DIC

PulmCrit (EMCrit)
PulmCrit - December 5, 2016 by Josh Farkas
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  • "Sepsis-induced DIC is distinct from other types of DIC.
  • S-DIC doesn’t cause low fibrinogen levels. It is generally noticed due to a thrombocytopenia.
  • Despite thrombocytopenia, most patients with S-DIC are hyper-coagulable or norma-coagulable. The sickest patients are hypocoagulable, indicating poor prognosis.
  • Patients with S-DIC and platelet count >30,000/mm3 should receive DVT prophylaxis.
  • Blood products should generally be avoided in patients with S-DIC who aren’t bleeding.
  • Purpura fulminans is an extreme form of S-DIC which may require more aggressive therapy (e.g. plasma exchange)."