Abstract

The improvement of techniques for extracorporeal circulation and particularly the use of more compact and biocompatible circuits allow working in complete safety with lower levels of anticoagulation. From this perspective it is useful to set new objectives in terms of effectiveness for the anticoagulation during cardiopulmonary bypass. Due to individual susceptibility towards heparin, it is useful to adopt a strategy based on personalized prescriptions. This therapeutic objective is easy to achieve by means of a series of simple tests accomplished in the operative theater and allowing to establish the individual dose-response curve for unfractionated heparin.

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