期刊
AMERICAN JOURNAL OF CLINICAL PATHOLOGY
卷 152, 期 4, 页码 407-422出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/ajcp/aqz074
关键词
TEG; Thromboelastography; Blood product; Transfusion
类别
Objectives: To provide an overview of the clot viscoelastic testing technology and to describe its utility in guiding blood product transfusions. Methods: A case scenario will be discussed as well as interpretation of thromboelastography (TEG) tracings. In addition, literature examining the utility of viscoelastic testing in guiding patient management and blood product transfusions will be reviewed. Results: TEG/rotational thromboelastometry (ROTEM) is useful in evaluating clot kinetics in trauma and acutely bleeding patients. TEG/ROTEM parameters are reflective of values measured using standard coagulation assays; however, TEG/ROTEM parameters are more rapidly available and more costly. TEG and ROTEM are used in three main settings: cardiac surgery, liver transplantation, and trauma to assess global hemostasis and administration of blood products. Conclusions: TEG/ROTEM can be helpful in guiding resuscitation and blood product transfusion. Several studies have demonstrated a reduction in transfusion of blood components with TEG/ROTEM; however, other studies have suggested that TEG/ROTEM is not clinically effective in guiding transfusion.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据