2021 Webinar: Practical Approach to Coagulation Management in Cirrhosis-Practical Approach to Coagulation Management in Cirrhosis

Video Transcription

Video Summary

The webinar entitled "A Practical Approach to Coagulation Management in Cirrhosis" discussed the challenges of managing bleeding in cirrhosis and provided recommendations for managing these difficult situations. Bleeding in cirrhosis carries high morbidity and mortality, and the aim of the webinar was to help provide a practical approach to managing these situations. The webinar discussed the difference between portal hypertension related bleeding and non-portal hypertension related bleeding, and the risk factors and clinical manifestations associated with each. It emphasized that traditional lab testing can be limited in guiding management and that a nuanced approach is necessary. The webinar also discussed the rebalanced system of hemostasis in cirrhosis and highlighted the importance of understanding the role of platelets, the fibrinolytic system, and thrombin generation in managing coagulation disorders in cirrhotic patients. The webinar provided guidance on the treatment options for patients with portal vein thrombosis, paracentesis, DVT prophylaxis, and catastrophic bleeding in cirrhotic patients. It concluded by highlighting the need for collaboration and communication among healthcare providers in managing these complex cases.

Asset Caption

Presenters: Nicolas Intagliata, MD and Arul Thomas, MD
Moderator: Arul Thomas, MD

Keywords

coagulation management

cirrhosis

bleeding

portal hypertension

hemostasis

platelets

thrombin generation

treatment options

collaboration