Diagnosis and Treatment of Trauma-Induced Coagulopathy by Viscoelastography.
Publication/Presentation Date
3-1-2020
Abstract
This article explores the application of viscoelastic tests (VETs) in trauma-induced coagulopathy and trauma resuscitation. We describe the advantages of VETs over conventional coagulation tests in the trauma setting and refer to previous disciplines in which VET use has reduced blood product utilization, guided prohemostatic agents, and improved clinical outcomes such as the mortality of critically bleeding patients. We describe different VETs and provide guidance for blood component therapy and prohemostatic therapy based on specific VET parameters. Because the two most commonly used VET systems, rotational thromboelastometry and thromboelastography, use different activators and have different terminologies, this practical narrative review will directly compare and contrast these two VETs to help the clinician easily interpret either and use the interpretation to determine hemostatic integrity in the bleeding trauma patient. Finally, we anticipate the future of new viscoelastic technologies that can be used in this setting.
Volume
46
Issue
2
First Page
134
Last Page
146
ISSN
1098-9064
Published In/Presented At
Hartmann, J., Walsh, M., Grisoli, A., Thomas, A. V., Shariff, F., McCauley, R., Vande Lune, S., Zackariya, N., Patel, S., Farrell, M. S., Sixta, S., March, R., Evans, E., Tracy, R., Campello, E., Scărlătescu, E., Agostini, V., Dias, J., Greve, S., & Thomas, S. (2020). Diagnosis and Treatment of Trauma-Induced Coagulopathy by Viscoelastography. Seminars in thrombosis and hemostasis, 46(2), 134–146. https://doi.org/10.1055/s-0040-1702171
Disciplines
Medicine and Health Sciences
PubMedID
32160640
Department(s)
Department of Surgery
Document Type
Article