Ali Dabbagh - MD, Professor of Cardiac Anesthesia Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Perioperative bleeding management is one of the greatest challenges for anesthesiologists. Not too many years ago, there were a few available options for anesthesiologists on table; both regarding diagnosis and replacement therapies. However, time has changed and many up-to-date approaches have been introduced during the last decades.During the perioperative period, the most common etiology for nonsurgical bleeding is underlying coagulation disorder which could be due to the effects of the procedure or due to an underlying disorder which often undiagnosed or insufficiently assessed. However, as all of the underlying disorders are not always well-known and some of them remain undetected, there is always room for further clinical developments and research work. Besides, a unique strategy for all patients to optimize the coagulation profile would not be always suitable; different suits should be tailored for each person. This is why choosing a personalized approach in perioperative hematologic optimization and coagulation management remains a logical, suitable and recommended approach.

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