Monitoring of perioperative dilutional coagulopathy using the ROTEM® analyzer: Basic principles and clinical examples

Transfusion Medicine and Hemotherapy

Volumn 31, Issue 4, 2004, Pages 244-249

  Innerhofer, P ^a   Streif, W ^a   Kuhbacher G ^a   Fries, D ^a  

^a UNIVERSITY OF INNSBRUCK   (Austria)

Author keywords

Blood loss; Blood transfusion; Coagulation tests; Fluid therapy; Thrombelastography

Indexed keywords

AUTOANALYZER; BLEEDING TENDENCY; BLOOD CLOTTING DISORDER; BLOOD CLOTTING TEST; CONFERENCE PAPER; DIAGNOSTIC APPROACH ROUTE; DIAGNOSTIC TEST; EARLY DIAGNOSIS; PATIENT MONITORING; PERIOPERATIVE PERIOD; PREOPERATIVE EVALUATION; THROMBOELASTOGRAPHY;

EID: 4444295844     PISSN: 16603796     EISSN: None     Source Type: Journal    
DOI: 10.1159/000080409     Document Type: Conference Paper

References (35)

1. American Society of Anesthesiologists Task Force on Blood Component Therapy: Practice guidelines for blood component therapy. Anesthesiology 1996;84:732-747.
2. Horsey PJ: Multiple trauma and massive transfusion (Editorial). Anaesthesia 1997;52:1027-1029.
3. Hellstern P, Haubelt H: Indications for plasma transfusion. Thromb Res 2002;107:19-22.
4. Hippala S: Replacement of massive blood loss. Vox Sang 1998;74(suppl 2):399-407.
5. Valeri CR, Cassidy G, Pivacek LE, Ragno G, Lieberthal W, Crowley JP, Khuri SF, Loscalzo J: Anemia-induced increase in bleeding time: Implications for treatment of nonsurgical blood loss. Transfusion 2001;41:977-983.
6. De Jonge E, Levi M: Effects of different plasma substitutes on blood coagulation: A comparative review. Crit Care Med 2001;29:1261-1267.
7. Innerhofer P, Fries D, Margreiter J, Klingler A, Kuhbacher G, Wachter B, Oswald E, Salner E, Frischhut B, Schobersberger W: The effects of perioperatively administered colloids and crystalloids on primary platelet-mediated hemostasis and clot formation. Anesth Analg 2002;95:858-865.
8. Reiss RF: Hemostatic defects in massive transfusion: Rapid diagnosis and management. Am J Crit Care 2000;9:158-165.
9. Hirshberg A, Dugas M, Banez EI, Scott BG, Wall MJ Jr, Mattox KL: Minimizing dilutional coagulopathy in exsanguinating hemorrhage: A computer simulation. J Trauma 2003;54:454-463.
10. Eckman MH, Erban JK, Singh SK, Kao GS: Screening for the risk for bleeding or thrombosis. Ann Int Med 2003;138:15-24.
11. Murray D, Pennell B, Olson J: Variability of prothrombin time and activated thromboplastin time in diagnosis of increased surgical bleeding. Transfusion 1999;39:56-62.
12. Singbartl K, Innerhofer P, Radvan J, Westphalen B, Fries D, Stogbauer R, Van Aken H: Hemostasis and hemodilution: A mathematical guide for clinical practice. Anesth Analg 2003;96:929-935.
13. Hippala ST: Dextran and hydroxyethyl starch interfere with fibrinogen assays. Blood Coag Fibrinol 1995;6:743-746.
14. MacLeod JB, Lynn M, McKenney MG, Cohn SM, Murtha M: Early coagulopathy predicts mortality in trauma. J Trauma 2003;55:39-44.
15. Stein SC, Young GS, Talucci RC, Greenbaum BH, Ross SE: Delayed brain injury after head trauma: Significance of coagulopathy. Neurosurgery 1992;30:160-165.
16. Malone DL, Dunne J, Tracy JK, Putnam AT, Scalea TM, Napolitano LM: Blood transfusion, independent of shock severity, is associated with worse outcome in trauma. J Trauma 2003;54:898-907.
17. Lucas CE, Ledgerwood AM, Saxe JM, Dombi G, Lucas WF: Plasma supplementation is beneficial for coagulation during severe hemorrhagic shock. Am J Surg 1996;171:399-404.
18. Chau TN, Chan YW, Patch D, Tokunaga S, Greenslade L, Burroughs AK: Thrombelastographic changes and early rebleeding in cirrhotic patients with variceal bleeding. Gut 1998;43:267-271.
19. Samama.CM: Thrombelastography: The next step (Editorial). Anest Analg 2001;92:563-564.
20. Pivalizza EG, Abramson DC: Thrombelastography: Another point of view (Letter). Anest Analg 2001;93:517-518.
21. Miller BE, Mochizuki T, Levy JH, Bailey JM, Tosone SR, Tam VK, Kanter KR: Predicting and treating coagulopathies after cardiopulmonary bypass in children. Anest Analg 1997;85:1196-1202.
22. Shore-Lesserson L, Manspeizer HE, DePerio M, Francis S, Vela-Cantos F, Ergin MA: Thrombelastography-guided transfusion algorithm reduces transfusions in complex cardiac surgery. Anesth Analg 1999;88:312-319.
23. Royston D, von Kier S: Reduced haemostatic factor transfusion using heparinase-modified thrombelastography during cardiopulmonary bypass. Br J Anaesth 2001;86:575-578.
24. Cammerer U, Dietrich W, Rampf T, Brain SL, Richter JA: The predictive value of modified computerized thrombelastography and platelet function analysis for postoperative blood loss in routine cardiac surgery. Anesth Analg 2003;96:51-57.
25. Forestier F, Belisle S, Contant C, Harel F, Janvier G, Hardy JF: Reproductibilité et interchangeabilité du Thromboé lastographe®, Sonoclot® et du temps de coagulation activé (Hémochron®), en chirurgie cardiaque. Can J Anesth 2001;48:902-910.
26. Vig S, Chitolie A, Bevan DH, Halliday A, Dormandy J: Thrombelastography: A reliable test? Blood Coag Fibrinol 2001;12:555-561.
27. Miller BE, Guzzetta NA, Tosone SR, Levy JH: Rapid evaluation of coagulopathies after cardiopulmonary bypass in children using modified thrombelastography. Anesth Analg 2000;90:1324-1330.
28. Mallett SV, Cox DJ: Thrombelastography. Br J Anaesth 1992;69:307-313.
29. Hartert H: Blutgerinnungsstudien mit der Thrombelastographie, einem neuen Untersuchungsverfahren. Klein Wochenschr 1948;26:577-583.
30. Chandler WL, Patel MA, Gravelle L, Soltow LO, Lewis K, Bishop PD, Spiess BD: Factor XIIIA and clot strength after cardiopulmonary bypass. Blood Coag Fibrinol 2001;12:101-108.
31. Vorweg M, Hartmann B, Knüttgen D, Jahn MC, Doehn M: Management of fulminant fibrinolysis during abdominal aortic surgery. J Cardiothorac Vasc Anesth 2001;6:764-767.
32. Gottumukkala VN, Sharma SK, Philip J: Assessing platelet and fibrinogen contribution to clot strength using modified thrombelastography in pregnant women. Anesth Analg 1999;89:1453-1455.
33. Ti LK, Cheong KF, Chen FG: Prediction of excessive bleeding after coronary artery bypass graft surgery: The influence of timing and heparinase on thrombelastography. J Cardiothorac Vasc Anesth 2002;16:545-550.
34. Frumento RJ, Hirsh AL, Parides MK, Bennett-Guerrero E: Differences in arterial and venous thrombelastography parameters: Potential role of shear stress and oxygen content. J Cardiothorac Vasc Anesth 2002;16:551-554.
35. Fries D, Innerhofer P, Klingler A, Berresheim U, Mittermayr M, Calatzis A, Schobersberger W: The effect of the combined administration of colloids and lactated Ringer's solution on the coagulation system: An in vitro study using thrombelastograph coagulation analysis. Anesth Analg 2002;94:1280-1287.