Thromboelastometry-guided intraoperative haemostatic management reduces bleeding and red cell transfusion after paediatric cardiac surgery.

@article{Nakayama2015ThromboelastometryguidedIH,
  title={Thromboelastometry-guided intraoperative haemostatic management reduces bleeding and red cell transfusion after paediatric cardiac surgery.},
  author={Y Nakayama and Y Nakajima and K A Tanaka and D I Sessler and S Maeda and J Iida and S Ogawa and T Mizobe},
  journal={British journal of anaesthesia},
  year={2015},
  volume={114 1},
  pages={91-102}
}
  • Y Nakayama, Y Nakajima, +5 authors T Mizobe
  • Published 2015 in British journal of anaesthesia
  • DOI:10.1093/bja/aeu339
BACKGROUND Thromboelastometric evaluation of coagulation might be useful for prediction and management of bleeding after paediatric cardiac surgery. We tested the hypothesis that the use of a thromboelastometry-guided algorithm for blood product management reduces blood loss and transfusion requirements. METHODS We studied 78 patients undergoing paediatric cardiac surgery with cardiopulmonary bypass (CPB) for the initial 12 h after operation. Stepwise multiple linear regression was used to… CONTINUE READING

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Comparison of thromboelasto - metry ( ROTEM w ) with standard plasmatic coagulation testing in paediatric surgery

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