Perioperative Hemostasis: Coagulation for Anesthesiologists PDF
Preview Perioperative Hemostasis: Coagulation for Anesthesiologists
Carlo Enrique Marcucci Patrick Schoettker Editors Perioperative Hemostasis Coagulation for Anesthesiologists 123 Perioperative Hemostasis Carlo Enrique Marcucci (cid:129) P atrick Schoettker Editors Perioperative Hemostasis Coagulation for Anesthesiologists Editors Carlo Enrique Marcucci Patrick Schoettker Department of Anesthesiology Department of Anesthesiology University Hospital of Lausanne University Hospital of Lausanne Lausanne Lausanne Switzerland Switzerland ISBN 978-3-642-55003-4 ISBN 978-3-642-55004-1 (eBook) DOI 10.1007/978-3-642-55004-1 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2014949161 © Springer-Verlag Berlin Heidelberg 2015 T his work is subject to copyright. 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Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) To Carine, Ella, Catherine, Sophie and Zoé, our girls Acknowledgement English language editing by Darren Hart. vii a ort: p e mit r m S I Z E O F T R E A T M E N T E F F E C T CLASS ICLASS IIICLASS IIbCLASS IIa≥≥Benefit >>> RiskRisk BenefitBenefit RiskBenefit >> Risk Procedure/TreatmentProcedure/Treatment shouldAdditional studies with broadAdditional studies withSHOULD be performed/NOT be performed/adminis-objectives needed; additionalfocused objectives neededSINCE IT IS NOT HELP-administeredtered registry data would be helpfulFUL AND MAY BE HARMFULIT IS REASONABLE to per-Procedure/Tretmentform procedure/administerMAY BE CONSIDEREDtreatment LEVEL A Recommendation in favor Recommendation’s Recommendation that Recommendation thatof treatment or procedureusefulness/efficacy lessprocedure or treatment isMultiple populationsprocedure or treatmentTCbeing useful/effectivewell establishednot useful/effective andis useful/effectiveevaluated*EFmay be harmfulFE Some conflicting evidence Greater conflicting Sufficient evidence fromData derived from multiple Tfrom multiple randomizedevidence from multiple Sufficient evidence fromrandomized clinical trialsmultiple randomized trialsNEtrails or meta-analysesrandomized trails ormultiple randomized trialsor meta-analysesor meta-analysesMmeta-analysesor meta-analysesTAERTLEVEL B Recommendation in favor Recommendation’s Recommendation that Recommendation that FOof treatment or procedureusefulness/efficacy lessLimited populationsprocedure or treatmentprocedure or treatment is )being useful/effectivewell establishedevaluated*is useful/effectivenot useful/effective andNOmay be harmfulIS Some conflicting Greater conflictingData derived from a Evidence from singleICEevidence from singleevidence from single Evidence from singlesingle randomized trialrandomized trial orRrandomized trial orrandomized trail orrandomized trial oror nonrandomized studiesnonrandomized studiesP( nonrandomized studiesnonrandomized studiesnonrandomized studiesYTNIALEVEL C Recommendation’s Recommendation in favor Recommendation that Recommendation thatTRuseful/efficacy lessof treatment or procedureprocedure or treatment isVery limited populationsprocedure or treatment isECwell establishedbeing useful/effectivenot useful/effective andevaluated*useful/effective Fmay be harmfulO E Only diverging expert Only diverging expertOnly consensus opinion Only expert opinion, caseTopinion, case studies, oropinion, case studies, Only expert opinion, caseof experts, case studies,studies, or standard of careAMstandard of careor standard of carestudies, or standard of careor standard of careITSEIs reasonableis not recommendedSuggested phrases forMay/might be consideredShouldcan be useful/effective/is not indicatedwriting recommendations*may/might be reasonableis recommendedbeneficial is probably should notusefulness/effectiveness isis indicatedrecommendedunknown/unclear/uncertainis useful/effective/beneficialis not usefull/effective/ or indicatedbeneficial may be harmfulor not well established with permission, from: Jacobs AK, Kushner FG, Ettinger SM et al. (2013) ACCF/AHA Clinical practice guideline methodology sumerican college of cardiology foundation/american heart association task force on practice guidelines. Circulation 127:268–310 Reproduced, report of the a
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