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

Disciplines

Medicine and Health Sciences

PubMedID

32160640

Department(s)

Department of Surgery

Document Type

Article

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