Viscoelastic coagulation test for liver transplantation
Coagulation and transfusion management in patients undergoing liver transplantation is challenging. Proper perioperative monitoring of hemostasis is essential to predict the risk of bleeding during surgery, to detect potential causes of hemorrhage in time, and to guide hemostatic therapy. The value...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2020-04-01
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| Series: | Anesthesia and Pain Medicine |
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| Online Access: | http://www.anesth-pain-med.org/upload/pdf/apm-2020-15-2-143.pdf |
| _version_ | 1797825431699718144 |
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| author | Sun Young Park |
| author_facet | Sun Young Park |
| author_sort | Sun Young Park |
| collection | DOAJ |
| description | Coagulation and transfusion management in patients undergoing liver transplantation is challenging. Proper perioperative monitoring of hemostasis is essential to predict the risk of bleeding during surgery, to detect potential causes of hemorrhage in time, and to guide hemostatic therapy. The value of conventional coagulation test is questionable in the acute perioperative setting due to their long turnaround time and the inability to adequately reflect the complex changes in hemostasis in patients with liver disease. Viscoelastic coagulation tests provide simultaneous measurement of multiple aspects of whole-blood coagulation including plasmatic coagulation and fibrinolytic factors and inhibitors that reflect most aspects of hemostasis. Coagulation initiation, mechanical clot stability, and fibrinolysis can be estimated immediately using point-of-care techniques. Therefore, viscoelastic coagulation tests including ROTEM & TEG would be useful to guide patient blood management strategy during liver transplantation. |
| first_indexed | 2024-03-13T10:53:55Z |
| format | Article |
| id | doaj.art-02e7f6f411ec4525b15fe8d48a4d3f31 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-13T10:53:55Z |
| publishDate | 2020-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-02e7f6f411ec4525b15fe8d48a4d3f312023-05-17T05:33:43ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772020-04-0115214315110.17085/apm.2020.15.2.1431013Viscoelastic coagulation test for liver transplantationSun Young Park0 Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, KoreaCoagulation and transfusion management in patients undergoing liver transplantation is challenging. Proper perioperative monitoring of hemostasis is essential to predict the risk of bleeding during surgery, to detect potential causes of hemorrhage in time, and to guide hemostatic therapy. The value of conventional coagulation test is questionable in the acute perioperative setting due to their long turnaround time and the inability to adequately reflect the complex changes in hemostasis in patients with liver disease. Viscoelastic coagulation tests provide simultaneous measurement of multiple aspects of whole-blood coagulation including plasmatic coagulation and fibrinolytic factors and inhibitors that reflect most aspects of hemostasis. Coagulation initiation, mechanical clot stability, and fibrinolysis can be estimated immediately using point-of-care techniques. Therefore, viscoelastic coagulation tests including ROTEM & TEG would be useful to guide patient blood management strategy during liver transplantation.http://www.anesth-pain-med.org/upload/pdf/apm-2020-15-2-143.pdfblood coagulation disordersblood coagulation testsliver transplantationthromboelastography |
| spellingShingle | Sun Young Park Viscoelastic coagulation test for liver transplantation Anesthesia and Pain Medicine blood coagulation disorders blood coagulation tests liver transplantation thromboelastography |
| title | Viscoelastic coagulation test for liver transplantation |
| title_full | Viscoelastic coagulation test for liver transplantation |
| title_fullStr | Viscoelastic coagulation test for liver transplantation |
| title_full_unstemmed | Viscoelastic coagulation test for liver transplantation |
| title_short | Viscoelastic coagulation test for liver transplantation |
| title_sort | viscoelastic coagulation test for liver transplantation |
| topic | blood coagulation disorders blood coagulation tests liver transplantation thromboelastography |
| url | http://www.anesth-pain-med.org/upload/pdf/apm-2020-15-2-143.pdf |
| work_keys_str_mv | AT sunyoungpark viscoelasticcoagulationtestforlivertransplantation |