(精编)【体外膜肺ECMO精品课件】 Coagulation Testing教学课件.pptVIP

下载本文档

0
0
约2.01千字
约 77页
2018-03-21 发布于天津
举报
版权申诉

(精编)【体外膜肺ECMO精品课件】 Coagulation Testing教学课件.ppt

1、本文档共77页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
5、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
6、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
7、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
8、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

演示文稿演讲PPT学习教学课件医学文件教学培训课件

Coagulation Testing;Coagulation Testing;CLOT;Coagulation is Complex;POC Coag Analyzers Differ;Clinical Applications;History of the ACT;Activated Clotting Time;Particulate Contact Activation;ACT Automation - 1969;2 assays for separate applications;1980’s HemoTec ACT;ACT Differences;Why are there so many different ACTs? ;Monitoring - ACT;Heparinized ACT - CPB ;Pharmaceutical Intervention;ACT Monitoring-Aprotinin Treatment;Monitoring in CPB - Aprotinin;Other POC Coag in the OR;Other POC Coag in the OR;Outcome studies - POC in OR;Clinical Applications;Procedures;Diagnostic – Low dose heparin;Interventional – Moderate dose;Why use platelet inhibitors?;Need to inhibit restenosis / reocclusion;Platelet Inhibitors;Clinical Applications;ACT or aPTT;ACT vs aPTT;ACT or aPTT;Activated Partial Thromboplastin Time;NOT a PTT PTT is the predecessor of the aPTT Not used anymore Laboratory or Point of Care High APTT values presence of heparin treat by giving protamine underlying coagulopathy treat by giving FFP Monitor heparin / Coumadin? cross-over;Heparin versus Warfarin;Prothrombin Time;Prothrombin Time;Will POC Results Match the Lab?;Correlate Does Not Mean Match;Coag is NOT Chemistry;Compare for your site. Same System / Multiple Sites;Are differences important?;Sometimes VERY - aPTT SP;Lot to Lot Reproducibility;Clinical Applications;Dialysis / ECMO;Emergency Room;Anticoagulation Clinics;Anticoagulation Clinics;Will POC Results Match the Lab?;How to Compare INR Results;Lab to Lab Comparison;INR Expectations;Why Bother with POC Coag?;STAT Testing TAT;Standardized Clinical Interpretation;What’s the catch?;Regulatory compliance - Who sets the rules?;CLIA Applies to ALL Testing Areas;CLIA Regulations for Coagulation;Implementing POC coag requires:;Implementing POC coag requires:;New CLIA Regulations;New CLIA Regulations;Equivalent Quality Testing;Equivalent Quality Testing;Routine Quality Control;Ensuring Compliance;Connectivity;Connectivity;Solutions;Solutions;Why Bother with POC