Key result
Intake of dietary supplements containing fish oil and garlic was associated with diffuse postoperative oozing and bruising in a 55-year-old man undergoing off-pump bypass surgery.
Why the study?
Do dietary supplements containing fish oil and garlic increase bleeding risk in patients undergoing cardiac surgery?
Case Report (n=1)
Do dietary supplements containing fish oil and garlic increase bleeding risk in patients undergoing cardiac surgery?
Dietary supplements such as fish oil and garlic can cause significant postoperative bleeding in cardiac surgery patients, highlighting the critical need for thorough preoperative screening.
May warrant preoperative supplement screening in cardiac surgery; hypothesis-generating for bleeding risk.
We report a 55-year-old man who underwent off-pump bypass surgery and had diffuse oozing and bruising postoperatively. His hematological profile had been normal preoperatively and he had been off antiplatelets for a week prior to surgery. Postoperatively, a detailed talk revealed that he had been on dietary supplements containing fish oil and garlic - both of which are known to affect platelet function. It behooves the surgeon and anesthetist to screen all patients preoperatively for the possibility of intake of any dietary supplements taken by the patient.
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Bedi et al. (2016) conducted a case report in Postoperative bleeding (n=1). Dietary supplements (fish oil and garlic) was evaluated on Diffuse oozing and bruising postoperatively. Intake of dietary supplements containing fish oil and garlic was associated with diffuse postoperative oozing and bruising in a 55-year-old man undergoing off-pump bypass surgery.
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