Use of rotational thromboelastometry in perioperative medicine and its comparison with standard coagulation testing

Czech version

Authors: J. Jonáš; M. Durila; M. Blahýnková; T. Vymazal
Authors‘ workplace: Fakultní nemocnice v Motole, Praha ; Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta Univerzity Karlovy
Published in: Anest. intenziv. Med., 31, 2020, č. 5, s. 238-245
Category: Review Articles

Overview

Evaluation of the hemocoagulation status is one of the basic examinations in intensive and perioperative care. However, commonly used standard coagulation tests, such as prothrombin time, and activated partial thromboplastin time, do not provide comprehensive information on the hemocoagulation status. On the other hand, rotational thromboelastometry, as a dynamic viscoelastometric method, can examine all phases of secondary hemostasis. Its results thus better correspond to the in vivo situation. In addition, the results of rotational thromboelastometry are available earlier, and the implementation of this method into the perioperative bleeding management algorithm is associated with a reduction in blood loss, consumption of transfusion products and shorter length of stay in hospital. The aim of the following text is to bring the reader an overview of the possibility of using rotational thromboelastometry in pediatric and adult perioperative medicine, including the results of our own studies.

Keywords:

hemocoagulation – perioperative bleeding – rotational thromboelastometry – transfusion therapy

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