The effect of low dose (50 KIU/ml) and high dose (200 KIU/ml) aprotinin on standard thrombelastographic variables (r, K, α, MA) was examined in vitro using blood from forty ASA Class I patients. Both concentrations of aprotinin resulted in minor increases in r time above the normal range (P<0.05). Aprotinin did not alter other thrombelastographic variables. The results indicate that aprotinin is a mild direct anticoagulant in vitro as assessed by thrombelastography.
KangY, De WolfAM, AggarwalS, CampbellE, MartinLK.In vitro study of the effects of aprotinin on coagulation during orthotopic liver transplantation. Transplant Proc1991; 23:1934–1935.
6.
FritzH, WundererG.Biochemistry and applications of aprotinin, the kallikrein inhibitor from bovine organs. Arzniemittelsforshung1983; 33:479–494.
7.
LevyJH, BaileyJM, SalmenperaM.Pharmacokinetics of aprotinin in preoperative cardiac surgical patients. Anesthesiology1994; 80:1013–1018.
8.
Product information.Overview of the thrombelastograph coagulation analyzer. Haemoscope Corporation, Skokie, IL, USA.
9.
KehletH.Modification of responses to surgery by neural blockade: clinical implications. In: CousinsMJ, BridenbaughPO, eds. Neural blockade in clinical anesthesia and management of pain, 2nd Ed. J. B. Lippincott, Philadelphia, 1988; 145–188.