::: Blood CME Center ::: Blood CME Center is a free educational initiative developed by experts in the fields of perioperative hemostasis, hematologic malignancies, and hemophilia and other bleeding disorders. Blood CME Center provides free continuing medical education (CME) featuring Web-based learning, such as podcasts and slide presentations. Visit our Web site to register and access free educational materials.

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Peter K. Smith, MD

Professor and Chief
Division of Cardiovascular and Thoracic Surgery
Duke University Medical Center
Durham, North Carolina

Ian J. Welsby, MD, MBBS, FRCA

Assistant Professor
Department of Anesthesiology and Critical Care
Duke University Medical Center
Durham, North Carolina

Are there hemostatic challenges unique to cardiac surgery? An anesthesiologist and a surgeon discuss important factors in perioperative cardiac bleeding and the clinician's ability to mitigate against those factors in this informative Q&A exchange. Topics covered include strategies for managing hemostasis; the debate concerning optimal fibrinogen levels; benefits and drawbacks to using allogeneic blood products for the correction of low fibrinogen levels; how to measure clot formation intraoperatively and postoperatively; as well as recent developments in point-of-care diagnostics, including ROTEM, and how these developments likely will impact the perioperative management of hemostasis.

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