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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. CT EXTEM > 80s. A5 FIBTEM < 5mm A10 FIBTEM < 7 mm.

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

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  1. 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

  2. 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.

  3. HEMORRAGIE GRAVE

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