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Table 1 ACT, APTT and INR values Peri and Post-operatively; Also blood loss, Hb concentration and blood product use peri-operatively, is reported

From: Lepirudin as an alternative to "heparin allergy" during cardiopulmonary bypass

Time (Hours)

ACT (sec)

APTT (sec)

INR

Blood loss (ml)

Hg (mg/dl)

Blood products

Operating Theatre

      

10:15 am ( Pre-op)

132

29.4

1.3

140

12.0

 

11:00 (post-lepirudin)

>1300

>200

10.0

   

11:25 (pre-CPB)

>1500

120

1.9

   

11:43 (CPB+5 mins)

>1000

>250

>10

   

12:00 (+20 min)

>1000

>250

>10

   

12:15 pm (+35 min)

>1000

>250

>10

   

12:30 (+50 min)

436

130

6.6

   

12:45 ( off CPB)

478

111

3.0

   

13:15 (+30 min post-CPB)

476

73

1.9

230

7.0

NONE

ITU

      

14:10

 

54

1.5

140

8.9

 

15:00

 

38

1.3

40

7.7

 

16:15

 

47

1.7

30

8.9

RCC:2, FFPs:2

17:00

 

51

1.5

40

7.5

RCC:2

18:50

 

40

1.3

3000

6.7

PLTs:2

FFPs:2

20:50

 

44

1.3

1800

5.9

RCC:6

PLTs:2

CryoP:4

FFPs:2

Day 1

      

16:00

 

34

1.2

200

8.9

NONE

18:00

 

38

1.3

40

9.0

 
  1. Note that while the total theatre blood loss was 370 mls, the total ICU blood loss was 5300 mls.