Goal-directed hemostatic therapy using the rotational thromboelastometry in patients requiring emergent cardiovascular surgery

Autor: Marc Licker, Angela Frei, Jean-Luc Waeber, Patrick Olivier Myers, Tiziano Cassina, John Diaper, Gordana Pavlovic, Danièle Sartorius
Přispěvatelé: University of Zurich, Licker, Marc
Rok vydání: 2014
Předmět:
Male
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty
Coronary artery bypass grafting
Diabetes mellitus
Optic neuropathy
Cardiovascular surgery
Postoperative bleeding
Rotational thromboelastometry
610 Medicine & health
Postoperative Hemorrhage
Fibrinogen
11171 Cardiocentro Ticino
2705 Cardiology and Cardiovascular Medicine
Hemostatics
Perioperative Care
Cohort Studies
lcsh:RD78.3-87.3
medicine
Coagulation testing
Coagulopathy
Humans
Platelet
Aged
Hemostasis
ddc:617
business.industry
Cardiovascular Surgical Procedures
General Medicine
Blood Coagulation Disorders
Middle Aged
medicine.disease
Thrombelastography
Surgery
Thromboelastometry
Treatment Outcome
Anesthesiology and Pain Medicine
Coagulation
lcsh:Anesthesiology
lcsh:RC666-701
Anesthesia
Female
2703 Anesthesiology and Pain Medicine
Patient Safety
Fresh frozen plasma
Cardiology and Cardiovascular Medicine
Packed red blood cells
business
Goals
Algorithms
medicine.drug
Zdroj: Annals of Cardiac Anaesthesia, Vol. 17, No 2 (2014) pp. 100-8
Annals of Cardiac Anaesthesia, Vol 17, Iss 2, Pp 100-108 (2014)
ISSN: 0971-9784
Popis: Aims and Objectives: We assessed the clinical impact of goal-directed coagulation management based on rotational thromboelastometry (ROTEM) in patients undergoing emergent cardiovascular surgical procedures. Materials and Methods: Over a 2-year period, data from 71 patients were collected prospectively and blood samples were obtained for coagulation testing. Administration of packed red blood cells (PRBC) and hemostatic products were guided by an algorithm using ROTEM-derived information and hemoglobin level. Based on the amount of PRBC transfused, two groups were considered: High bleeders (≥5 PRBC; HB) and low bleeders (
Databáze: OpenAIRE
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