A new era of thromboelastometry
| Autor: | Tomaz Crochemore, Felipe Maia de Toledo Piza, Thiago Domingos Corrêa, João Carlos de Campos Guerra, Roseny dos Reis Rodrigues, Leonardo José Rolim Ferraz |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Tromboelastometria rotacional Terapia guiada por metas Blood transfusion/adverse effects lcsh:Medicine Hemorrhage/prevention & control Hemorrhage Thrombelastography/methods 030204 cardiovascular system & hematology Severity of Illness Index law.invention Hemostatic drugs 03 medical and health sciences 0302 clinical medicine Drogas hemostáticas law Rotational thromboelastometry Coagulopathy medicine Coagulation testing Humans Intensive care medicine Medical Developments Hemorragia/prevenção & controle Prothrombin time Goal-directed therapy medicine.diagnostic_test business.industry lcsh:R 030208 emergency & critical care medicine Transfusão de sangue/efeitos adversos General Medicine medicine.disease Intensive care unit Tromboelastografia /métodos Thromboelastography Thrombelastography Thromboelastometry Transfusion therapy business Partial thromboplastin time |
| Zdroj: | Einstein Einstein (São Paulo), Vol 15, Iss 3, Pp 380-385 |
| ISSN: | 2317-6385 |
| Popis: | Severe hemorrhage with necessity of allogeneic blood transfusion is common complication in intensive care unit and is associated with increased morbidity and mortality. Prompt recognition and treatment of bleeding causes becomes essential for the effective control of hemorrhage, rationalizing the use of allogeneic blood components, and in this way, preventing an occurrence of their potential adverse effects. Conventional coagulation tests such as prothrombin time and activated partial thromboplastin time present limitations in predicting bleeding and guiding transfusion therapy in critically ill patients. Viscoelastic tests such as thromboelastography and rotational thromboelastometry allow rapid detection of coagulopathy and goal-directed therapy with specific hemostatic drugs. The new era of thromboelastometry relies on its efficacy, practicality, reproducibility and cost-effectiveness to establish itself as the main diagnostic tool and transfusion guide in patients with severe active bleeding. |
| Databáze: | OpenAIRE |
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