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Clinical Intensive Care Volume 17, 2006 - Issue 3-4
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Original Article

Monitoring and treating platelet dysfunction following a massive extracorporeal lithotripsy haemorrhage using a PFA-100 platelet function analyser

Moussa Riachy Department of Pulmonary and Critical Care Medicine, Hotel Dieu de France, Beirut, LebanonCorrespondence[email protected]
,
Charbel Faraj Department of Pulmonary and Critical Care Medicine, Hotel Dieu de France, Beirut, Lebanon
,
Sleiman Merhej Department of Urology, Hotel Dieu de France, Beirut, Lebanon
,
Georges Dabar Department of Pulmonary and Critical Care Medicine, Hotel Dieu de France, Beirut, Lebanon
,
Georges Khayat Department of Pulmonary and Critical Care Medicine, Hotel Dieu de France, Beirut, Lebanon
,
Fadi Nasr Department of Haematology and Oncology, Hotel Dieu de France, Beirut, Lebanon
&
Jacques Choucair Department of Infectious Disease, Hotel Dieu de France, Beirut, Lebanon
 show all
Pages 81-84 | Received 11 Dec 2006, Published online: 04 Dec 2011
 

Abstract

Here we discuss the treatment of a post-lithotripsy, retroperitoneal haemorrhage using desmopressine (DDAVP) as monitored using closure time with a PFA-100 device. Five days after lithotripsy the patient's closure time reading (tested with the collagen plus epinephrine cartridge) normalized following DDAVP administration. This report demonstrates the usefulness of the PFA-100 in monitoring the treatment of platelet dysfunction and also evaluates possible contributory causes of this type of haemorrhage.

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