Bleeding diatheses and preoperative screening

J Surg Educ. May-Jun 2013;70(3):423-31. doi: 10.1016/j.jsurg.2012.12.006.


Bleeding disorders pose a significant perioperative risk. Surgeons and surgical consultants should have a working knowledge of the cell-based coagulation model. Careful screening for bleeding diatheses begins with a careful history and physical examination. It is paramount to ascertain what medications and nonprescribed supplements and herbal preparations a patient is taking, as these medications can have significant effects on perioperative bleeding tendencies. Finally, screening laboratory-based coagulation assays are available. These must be used judiciously with regard to a patient's history and the clinical circumstances surrounding the surgical stressor.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Blood Coagulation Disorders / diagnosis*
  • Humans
  • Medical History Taking
  • Physical Examination
  • Preoperative Care*