A small amount can make a difference: a prospective human study of the paradoxical coagulation characteristics of hemothorax.

@article{Smith2013ASA,
  title={A small amount can make a difference: a prospective human study of the paradoxical coagulation characteristics of hemothorax.},
  author={William Zachary Smith and Hannah B Harrison and Marc A Salhanick and Russell A Higgins and Alfonso Bouzas Ort{\'i}z and John D. Olson and Martin G. Schwacha and Carl Randall Harrison and Jayson D. Aydelotte and Ronald M. Stewart and Daniel L. Dent},
  journal={American journal of surgery},
  year={2013},
  volume={206 6},
  pages={
          904-9; discussion 909-10
        }
}
BACKGROUND The evacuated hemothorax has been poorly described because it varies with time, it has been found to be incoagulable, and its potential effect on the coagulation cascade during autotransfusion is largely unknown. METHODS This is a prospective descriptive study of adult patients with traumatic chest injury necessitating tube thoracostomy. Pleural and venous samples were analyzed for coagulation, hematology, and electrolytes at 1 to 4 hours after drainage. Pleural samples were also… CONTINUE READING
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