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The Effect of Temperature and pH on the Activity of Factor VIIa: Implications for the Efficacy of High-Dose Factor VIIa in Hypothermic and Acidotic Patients

Zhi Hong MengAlisa S. WolbergDougald M. MonroeMaureane Hoffman

Abstract

FVIIa should be effective in enhancing hemostasis in hypothermic patients. However, because the activity of FVIIa is so dramatically affected by pH, its efficacy may be reduced in acidotic patients.

Trauma, Hemostasis, Coagulopathy, ResuscitationHemophilia Treatment and ResearchMuscle and Compartmental DisordersRecombinant factor VIIaMedicineHemostasisPlateletTissue factorHypothermiaCoagulationFactor VIIaAcidosisPharmacology

MeSH terms

AcidosisAdultBlood PlateletsHemostasisHumansHydrogen-Ion ConcentrationHypothermiaMiddle AgedPhospholipidsTemperatureThromboplastinFactor VIIa
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field-weighted impact
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References
Recombinant Activated Factor VII for Adjunctive Hemorrhage Control in Trauma
The Journal of Trauma: Injury, Infection, and Critical Care · 2001 · 448 citations
Platelet activity of high‐dose factor VIIa is independent of tissue factor
British Journal of Haematology · 1997 · 538 citations
Hypothermia in Trauma Victims
The Journal of Trauma: Injury, Infection, and Critical Care · 1987 · 680 citations
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