[Verse 1] Redo sternotomy, scar tissue thick like tar, Scalpel cracking old bone, we're rewiring a scar, Pump time stretching long, hypothermia creeping cold, Haemodilution thinning plasma, watch the story unfold, Fibrinogen draining out, platelets going numb, Clot factory shutting down before the case is done, Sangue che si perde — blood spilling like rain, Gotta plug the cascade before it floods the drain. [Chorus] Tranexamic, blocchiamo il plasmino, Dieci a trenta il carico, poi scorre piano piano, Uno a dieci l'infusione, tienilo nel segno, Fermiamo il sangue — questo è il nostro impegno. Antifibrinolytic, lock the clot in place, Guard the fibrin mesh, don't let it go to waste. [Verse 2] Ten to thirty milligrams per kilo, that's the load, One to ten per hour keeps the infusion in mode, Prime the pump circuit, kids get a dose up front, Dilution in the tubing means you double what you want, But cumulative numbers climbing past the ceiling line, Seizures start a-knocking when the kidneys can't refine, Renal impairment plus a towering TXA load, Convulsion risk is rising — watch the dosing road. [Verse 3] ε-aminocaproic, the cousin in the fight, Seventy-five to a hundred milligrams, loading up tonight, Infusion running steady through the paediatric case, Older drug, same family, still holding down its place, Both of them blocking plasmin, stopping clots from breaking fast, Protecting every stitch line so the graft repair will last. [Verse 4] Point of care is calling — TEG and ROTEM speak, Viscoelastic tracing tells you where the clot runs weak, Low fibrinogen reading? Cryo or concentrate, Platelets stuttering, dysfunction — transfuse before it's late, Factors running hollow, prothrombin complex fills the hole, Targeted, never blind — precision is the goal, Non si tira a caso, si guarda il tracciato, Ogni fattore manca, lo hai già calcolato. [Bridge] Cell salvage spinning red cells back out from the field, Retrograde autologous prime, less donor blood revealed, Ultrafiltration squeezing water, concentrating what remains, Keeping transfusion modest, sparing fragile little veins, Recombinant seven-A, that's rescue, not routine, Thrombotic risk is lurking in that powerful machine. [Chorus] Tranexamic, blocchiamo il plasmino, Dieci a trenta il carico, poi scorre piano piano, Uno a dieci l'infusione, tienilo nel segno, Fermiamo il sangue — questo è il nostro impegno. Antifibrinolytic, lock the clot in place, Guard the fibrin mesh, don't let it go to waste. [Outro] Hemostasis balanced, not a drop to spare, Conduit secure now, sangue sotto controllo, we got care, Antifibrinolytic logic, viscoelastic guide, Fermiamo il sangue — la squadra è dalla tua parte.
← Heparin, Protamine and Reversal | Inotropes, Vasopressors and RV Support →