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IBCC Episode 91 - Catastrophic Antiphospholipid Syndrome

The Internet Book of Critical Care Podcast

CHAPTER

Is Capern Anticoagulation a Good Thing?

There's probly a total of like 600 reported cases of caps in th literature. Nobody knows exactly what the right thing to do is, but i think there is consensus that therrepute capern anti qoaculation is a corner stone here and should probably be instituted sooner rather than later. And we just had a post on hepin resistance, or pseudo resistance. So following a p t t strategy, or you checkin an anti ten a level. This can be problematic because these patients may have artificially prolonged p t t levels due to the lupus anti coagulant. The next steps are pretty controversial, and itw'll be very difficult to ever get sound evidence

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