A new era of thromboelastometry
ABSTRACT Severe hemorrhage with necessity of allogeneic blood transfusion is common complication in intensive care unit and is associated with increased morbidity and mortality. Prompt recognition and treatment of bleeding causes becomes essential for the effective control of hemorrhage, rationalizi...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300380&lng=en&tlng=en |
| _version_ | 1819077857377255424 |
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| author | Tomaz Crochemore Felipe Maia de Toledo Piza Roseny dos Reis Rodrigues João Carlos de Campos Guerra Leonardo José Rolim Ferraz Thiago Domingos Corrêa |
| author_facet | Tomaz Crochemore Felipe Maia de Toledo Piza Roseny dos Reis Rodrigues João Carlos de Campos Guerra Leonardo José Rolim Ferraz Thiago Domingos Corrêa |
| author_sort | Tomaz Crochemore |
| collection | DOAJ |
| description | ABSTRACT Severe hemorrhage with necessity of allogeneic blood transfusion is common complication in intensive care unit and is associated with increased morbidity and mortality. Prompt recognition and treatment of bleeding causes becomes essential for the effective control of hemorrhage, rationalizing the use of allogeneic blood components, and in this way, preventing an occurrence of their potential adverse effects. Conventional coagulation tests such as prothrombin time and activated partial thromboplastin time present limitations in predicting bleeding and guiding transfusion therapy in critically ill patients. Viscoelastic tests such as thromboelastography and rotational thromboelastometry allow rapid detection of coagulopathy and goal-directed therapy with specific hemostatic drugs. The new era of thromboelastometry relies on its efficacy, practicality, reproducibility and cost-effectiveness to establish itself as the main diagnostic tool and transfusion guide in patients with severe active bleeding. |
| first_indexed | 2024-12-21T19:03:52Z |
| format | Article |
| id | doaj.art-486646534c914282871b9f043bb34203 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-12-21T19:03:52Z |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-486646534c914282871b9f043bb342032022-12-21T18:53:24ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638515338038510.1590/s1679-45082017md3130S1679-45082017000300380A new era of thromboelastometryTomaz CrochemoreFelipe Maia de Toledo PizaRoseny dos Reis RodriguesJoão Carlos de Campos GuerraLeonardo José Rolim FerrazThiago Domingos CorrêaABSTRACT Severe hemorrhage with necessity of allogeneic blood transfusion is common complication in intensive care unit and is associated with increased morbidity and mortality. Prompt recognition and treatment of bleeding causes becomes essential for the effective control of hemorrhage, rationalizing the use of allogeneic blood components, and in this way, preventing an occurrence of their potential adverse effects. Conventional coagulation tests such as prothrombin time and activated partial thromboplastin time present limitations in predicting bleeding and guiding transfusion therapy in critically ill patients. Viscoelastic tests such as thromboelastography and rotational thromboelastometry allow rapid detection of coagulopathy and goal-directed therapy with specific hemostatic drugs. The new era of thromboelastometry relies on its efficacy, practicality, reproducibility and cost-effectiveness to establish itself as the main diagnostic tool and transfusion guide in patients with severe active bleeding.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300380&lng=en&tlng=enHemorragia/prevenção & controleTransfusão de sangue/efeitos adversosTerapia guiada por metasTromboelastografia /métodosDrogas hemostáticasTromboelastometria rotacional |
| spellingShingle | Tomaz Crochemore Felipe Maia de Toledo Piza Roseny dos Reis Rodrigues João Carlos de Campos Guerra Leonardo José Rolim Ferraz Thiago Domingos Corrêa A new era of thromboelastometry Einstein (São Paulo) Hemorragia/prevenção & controle Transfusão de sangue/efeitos adversos Terapia guiada por metas Tromboelastografia /métodos Drogas hemostáticas Tromboelastometria rotacional |
| title | A new era of thromboelastometry |
| title_full | A new era of thromboelastometry |
| title_fullStr | A new era of thromboelastometry |
| title_full_unstemmed | A new era of thromboelastometry |
| title_short | A new era of thromboelastometry |
| title_sort | new era of thromboelastometry |
| topic | Hemorragia/prevenção & controle Transfusão de sangue/efeitos adversos Terapia guiada por metas Tromboelastografia /métodos Drogas hemostáticas Tromboelastometria rotacional |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000300380&lng=en&tlng=en |
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