Technology: Is There Sufficient Evidence to Change Practice in Point-of-Care Management of Coagulopathy?

Michael Fabbro, Anne M. Winkler, Jerrold H. Levy

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Currently, hemostasis is one of the most widely researched topics in perioperative medicine. As investigators learn more about the complexity of coagulation, developing tests with the ability to rapidly monitor coagulation and guide targeted therapy is the key to optimizing hemostasis management. There is mounting evidence that algorithmic transfusion using point-of-care (POC) testing can reduce red cell and platelet transfusions and major bleeding after cardiac surgery. Integrating these tests during cardiac surgery and trauma management is especially important because these groups use the most blood products within a health system and the risks of transfusion are well documented. Currently, numerous POC tests are available for evaluating hemostasis. The purpose of this review is to provide a comprehensive evaluation of the current evidence surrounding the most common POC testing devices in practice for managing coagulation.

Original languageEnglish (US)
Pages (from-to)1849-1856
Number of pages8
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume31
Issue number5
DOIs
StatePublished - Oct 1 2017

Keywords

  • Blood transfusion
  • Coagulation tests
  • Coagulopathy
  • Hemostasis
  • Platelet function assays
  • Point of care tests
  • Viscoelastic testing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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