Point-of-care monitoring for the management of trauma-induced bleeding. Issue 2 (April 2017)

• Record Type: Journal Article
• Authors: Hanke, Alexander A.; Horstmann, Hauke; Wilhelmi, Michaela
• Is Part Of: Current opinion in anaesthesiology. Volume 30:Issue 2(2017:Apr.)
• Publication Date: 2017-04
• Subjects: aggregometry -- point-of-care -- ROTEM -- TEG -- trauma-induced coagulopathy; Anesthesiology -- Periodicals; Anesthesiology -- Indexes; Anesthesiology -- Periodicals; Review Literature -- Indexes; Review Literature -- Periodicals; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1097/ACO.0000000000000448
• Languages: English
• ISSNs: 0952-7907

Abstract

Abstract : Purpose of review: Knowledge of trauma-induced coagulopathy has been grown in the past and point-of-care suitable devices for coagulation testing have been introduced. Methodology and clinical application of different systems for point-of-care coagulation monitoring are shown with a focus on thrombelastography as measured by TEG, rotational thromboelastometry as measured by ROTEM and impedance aggregometry as measured by the multiplate analyser and ROTEM platelet. Recent findings: Two different methods for point-of-care coagulation assessment are available: viscoelastic tests (ROTEM, TEG) and impedance aggregometry. In different settings these methods have been evaluated in various publications pointing out the possibility of reducing transfusion requirements, transfusion-related side effects, and resulting costs. Summary: Point-of-care assessment of coagulation in trauma patients appears to be at least promising. However, because published data mostly are of retrospective or observational nature only, there is a need for prospective, randomized and controlled studies.