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Viscoelastic Coagulation Test Guided Therapy for a Strategy to Reduce Transfusions
수혈 감소 전략을 위한 점탄성 응고 검사법의 유용성
Korean J Blood Transfus 2018;29:240−252
Published online December 31, 2018;  https://doi.org/10.17945/kjbt.2018.29.3.240
© 2018 The Korean Society of Blood Transfusion.

Sun Young Park
박선영

Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
순천향대학교 서울병원 마취통증의학과
Sun Young Park
Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Korea
Tel: 82-2-709-9301, Fax: 82-2-790-0394, E-mail: sunnypark97@schmc.ac.kr, ORCID: http://orcid.org/0000-0003-2588-3324
Received October 22, 2018; Revised November 26, 2018; Accepted November 26, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Viscoelastic coagulation tests provide simultaneous measurements of multiple aspects of whole-blood coagulation, including interactions between the plasma components and cellular components of the coagulation cascade. This can be carried out immediately using a point of care technique. Viscoelastic tests could predict the patient’s outcome, including mortality, and detect coagulopathy more sensitively, resulted in reduced blood loss. The transfusion strategy based on the viscoelastic parameters rather than a conventional coagulation test has been shown to reduce the transfusion requirements. Although there are concerns about the reliability and accuracy of this method, viscoelastic tests, including ROTEM, would be a useful method to guide patient blood management strategies.
Keywords : Blood coagulation disorders, Blood coagulation tests, Blood transfusion, Thromboelastography

 

December 2018, 29 (3)
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