The role of viscoelastic testing in the management of the parturient

被引:1
作者
Waters, Jonathan H. [1 ]
机构
[1] Univ Pittsburgh, McGowan Inst Regenerat Med, Dept Anesthesiol & Bioengn, Pittsburgh, PA USA
关键词
EPIDURAL HEMATOMA; BLEEDING-TIME; COAGULATION; MAGNESIUM; THROMBOCYTOPENIA; PREGNANCIES; OXYTOCIN; RISK; TERM;
D O I
10.1111/trf.15928
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Viscoelastic testing is the measurement of how the viscoelastic properties of blood change as blood clots. In pregnancy, unique changes in clotting function occur overall to make the pregnant woman hypercoagulable. Viscoelastic testing may be able to play a role in guiding placement of epidural and spinal anesthetics by demonstrating enhanced coagulation function, even when there are individual parts of the coagulation system that are abnormal, for example, thrombocytopenia. These tools may also play a role in addressing the management of maternal hemorrhage, which in the United States is on the rise. This review discusses the opportunity to use viscoelastic testing in the parturient.
引用
收藏
页码:S70 / S74
页数:5
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