Effects of implementing rotational thromboelastometry in cardiac surgery: A retrospective cohort study
| Autor: | M. Valtonen, Marko A. Peltoniemi, Oki Söderholm, Ville-Veikko Hynninen, Tuukka Saarikoski, Minna Kallioinen, Tommi Kauko, Jenni Aittokallio |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cardiothoracic surgery / Clinical investigations / Patient safety/outcomes / Management of bleeding / Operating theatre business.industry Retrospective cohort study Original Articles General Medicine 030204 cardiovascular system & hematology medicine.disease Thrombelastography Cardiac surgery Plasma 03 medical and health sciences Thromboelastometry 0302 clinical medicine 030202 anesthesiology Emergency medicine Coagulopathy Humans Medicine Cardiac Surgical Procedures business Blood Coagulation Retrospective Studies |
| Zdroj: | Journal of Perioperative Practice |
| ISSN: | 2515-7949 1750-4589 |
| Popis: | Since 2013, rotational thromboelastometry has been available in our hospital to assess coagulopathy. The aim of the study was to retrospectively evaluate the effect of thromboelastometry testing in cardiac surgery patients. Altogether 177 patients from 2012 and 177 patients from 2014 were included. In 2014, the thromboelastometry testing was performed on 56 patients. The mean blood drainage volume decreased and the number of patients receiving platelets decreased between 2012 and 2014. In addition, the use of fresh frozen plasma units decreased, and the use of prothrombin complex concentrate increased in 2014. When studied separately, the patients with a thromboelastometry testing received platelets, fresh frozen plasma, fibrinogen and prothrombin complex concentrate more often, but smaller amounts of red blood cells. In conclusion, after implementing the thromboelastometry testing to the practice, the blood products were given more cautiously overall. The use of thromboelastometry testing was associated with increased possibility to receive coagulation product transfusions. However, it appears that thromboelastometry testing was mostly used to assist in management of major bleeding. |
| Databáze: | OpenAIRE |
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