Viscoelastic Testing in Trauma

Mathijs R. Wirtz; Holger M. Baumann; J. Henriëtte Klinkspoor; J. Carel Goslings; Nicole P. Juffermans

doi:10.1055/s-0037-1598057

Seminars in Thrombosis and Hemostasis, Inhaltsverzeichnis

Semin Thromb Hemost 2017; 43(04): 375-385
DOI: 10.1055/s-0037-1598057

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Viscoelastic Testing in Trauma

Authors

Mathijs R. Wirtz

¹Trauma Unit, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands

²Department of Intensive Care, Academic Medical Center, Amsterdam, The Netherlands
Holger M. Baumann

³Department of Anaesthesiology, Academic Medical Center, Amsterdam, The Netherlands
J. Henriëtte Klinkspoor

⁴Laboratory for General Clinical Chemistry, Academic Medical Center, Amsterdam, The Netherlands
J. Carel Goslings

¹Trauma Unit, Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands
Nicole P. Juffermans

²Department of Intensive Care, Academic Medical Center, Amsterdam, The Netherlands

Abstract

Traumatic-induced coagulopathy (TIC) is a complex condition which develops both as a response to trauma as well as to clinical care interventions. Accurate and timely diagnostics are necessary to enable therapy aimed at correction of TIC. Viscoelastic hemostatic assays (VHA) are increasingly recognized for their potential to diagnose TIC as well as for guidance of treatment. This narrative review focuses on the evidence of the use of VHAs to diagnose TIC, to monitor efficacy of treatment of TIC during bleeding and to prognosticate outcome. Pitfalls of the use of VHA are also discussed.

Keywords

trauma - VHA - coagulopathy - treatment algorithm

Volltext

Referenzen

References
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