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KFJ Ng May 2011

Platelet and global haemostatic effects of common traditional Chinese herbal medicines: implications for anaesthesia. KFJ Ng May 2011. 5. 22 (2000) 13 (2003). 7. 8 (2006) 13 (2005). 7 (2007) 14 (2004). Ann Pharmacother 2004;38:1651. The “Big 3”. Ginkgo biloba (7/29) Garlic (3/29)

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KFJ Ng May 2011

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  1. Platelet and global haemostatic effects of common traditional Chinese herbal medicines: implications for anaesthesia KFJ Ng May 2011

  2. 5 22 (2000) 13 (2003) 7 8 (2006) 13 (2005) 7 (2007) 14 (2004)

  3. Ann Pharmacother 2004;38:1651

  4. The “Big 3” • Ginkgo biloba (7/29) • Garlic (3/29) • Saw palmetto (2/29)

  5. Ginkgo biloba Am J Hematol 2005; 79: 343

  6. Ginkgo biloba (EGb 761) Thromb Res 2003; 108: 151

  7. Garlic A&A 2007; 105: 1214

  8. Garlic Prostaglandins Leukot Essent Fatty Acids 1998;58:257

  9. Saw palmetto

  10. The “Big 3” and more… Plast Reconstr Surg 2007; 120:2044

  11. Fufang (compound formula)

  12. Danshen (丹參, salvia root)

  13. Danshen (丹參, salvia root) Platelets 2008;19:24

  14. Danshen (丹參, salvia root) Thromb Res 2008;123:298

  15. Ligusticum wallichii (chuanxiong, Szechuan lovage, “川芎”)

  16. Ligusticum wallichii (chuanxiong, Szechuan lovage, “川芎”) Thromb Res 2001;104:15

  17. Curcuma zedoaria (zedoary, ezhu, “莪朮”)

  18. Curcuma zedoaria (zedoary, ezhu, “莪朮”) Thromb Res 2011;127:111

  19. Curcuma zedoaria (zedoary, ezhu, “莪朮”) Thromb Res 2011;127:111

  20. Angelica Sinensis (dongguai, “當歸”)

  21. Dang-Gui-Shao-Yao-San (當歸芍藥散)(dong guai, chuanxiong, and others) Am J Chin Med 2005;33:747

  22. Radix et Rhizoma Notoginseng (sanqi, “三七”)

  23. Radix et Rhizoma Notoginseng(sanqi, “三七”) J Clin Pharmacol 2000;40:1150

  24. Radix et Rhizoma Notoginseng (sanqi, “三七”) Pharmacotherapy 2001;21:773

  25. Radix et Rhizoma Notoginseng(sanqi, “三七”) J Ethnopharmacol 2009;125:380

  26. Radix et Rhizoma Notoginseng(sanqi, “三七”) J Ethnopharmacol 2009;125:380

  27. Radix et Rhizoma Notoginseng(sanqi, “三七”) J Ethnopharmacol 2009;125:380

  28. Get to know the “bad guys” • Know the common ones used in your locality • Back to the basics • Haemostasis testing

  29. Can you tell me… • Indication for treatment? • Drug interactions? • Precautions e.g. menstruation? • Bleeding symptoms

  30. Printer LCD screen Soft keys Trigger solution Test cartridge Cassette Carousel

  31. EPICT = 188 sec Sensitivity = 88% Specificity = 52%

  32. Thank You

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