Thromboelastography and Rotational Thromboelastometry use in trauma

被引:47
作者
Abdelfattah, Kareem [1 ]
Cripps, Michael W. [1 ]
机构
[1] Univ Texas Southwestern, Dept Surg, Dallas, TX USA
关键词
Thromboelastography; Rotational thromboelastometry; Massive transfusion; Coagulopathy; COAGULATION MANAGEMENT; TRANSFUSION; MORTALITY; PLASMA; HYPERFIBRINOLYSIS; CONCENTRATE; ROTEM(R); TEG(R);
D O I
10.1016/j.ijsu.2015.09.036
中图分类号
R61 [外科手术学];
学科分类号
摘要
The appropriate resuscitation of patients in hemorrhagic shock is critical to improving survival. Current strategies for massive transfusions utilize fixed ratio protocols to rapidly deliver plasma and platelets to the patient. However, there is some concern that these larger volumes of transfusions can lead to untoward effects. Efforts are ongoing to provide patient-specific transfusion therapy in order to avoid excess transfusions. Thromboelastography (TEG) or Rotational Thromboelastometry (ROTEM) are two viscoelastic analyzers capable of providing Viscoelastic testing. (C) 2015 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:196 / 201
页数:6
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