Practical Use of Thromboelastometry in the Management of Perioperative Coagulopathy and Bleeding

Achieving hemostasis after complex cardiovascular and transplant surgeries is one of the greatest challenges anesthesiologists face. Preoperative coagulation disturbances due to underlying disease or antithrombotic therapy are common, and they are worsened by intraoperative blood loss and fluid replacement. The coagulation reactions in vivo are incredibly complex interactions among blood cells, proteins and vasculature, standing in sharp contrast to rather simple treatment options including transfusion of platelets, plasma, and cryoprecipitate.
Source: Transfusion Medicine Reviews - Category: Hematology Authors: Source Type: research