How Does Hypothermia Cause Bleeding Diathesis?
In Mild Hypothermia (35–32°C), Bleeding Results Primarily from a Defect in Platelet Adhesion, and At
In mild hypothermia (35–32°C), bleeding results primarily from a defect in platelet adhesion, and at <33°C enzyme activity contributes additionally to coagulopathy (Wolberg et al., 2004). Management of hypothermia-associated coagulopathy is challenging.
Why does hypothermia cause bleeding?
Higher blood viscosity during hypothermia decreases blood flow velocity, which also facilitates the formation of a platelet plug because the forces that tend to draw the platelet plug from the vessel wall are decreased.
How does hypothermia impair coagulation?
Conclusions: The series of enzymatic reactions of the coagulation cascade are strongly inhibited by hypothermia, as demonstrated by the dramatic prolongation of prothrombin time and partial thromboplastin time tests at hypothermic deviations from normal temperature in a situation where factor levels were all known to ...