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Thromboelastography in Liver Transplantation, a Comparison withConventional Laboratory Tests


Authors: J. Charvát;  P. 'vychodil;  E. 'kieslichová;  I. Smrčková;  I. Hložánek
Authors‘ workplace: Úsek laboratorních metod IKEM, Praha Klinika anesteziologie, resuscitace a intenzivní péče IKEM, Praha
Published in: Čas. Lék. čes. 2004; : 697-699
Category:

Overview

Background.
The aim of our study was to compare the results of conventional tests and thromboelastography duringliver transplantation and to determine their importance for blood loss.Methods and Results. Thromboelastography and conventional laboratory tests were undertaken in 25 patients atthe end of the anhepatic phase. Transfusion requirements correlated significantly only with prothrombin time andreaction time, R. These two tests likewise correlated significantly one with the other.Conclusions. Lowered plasma levels of coagulation factors of the prothrombin complex influenced the blood lossesin our patients. While not replacing conventional tests, thromboelastography can serve as an additional test formonitoring acute changes in hemostasis

Key words:
trombelastograf, liver transplantation, prothrombin time, aPTT, fibrinolysis, thrombocytopenia,thrombocytopathy.

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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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