Technology: Is There Sufficient Evidence to Change Practice in Point-of-Care Management of Coagulopathy?
Journal Article (Journal Article;Review)
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.
Full Text
Duke Authors
Cited Authors
- Fabbro, M; Winkler, AM; Levy, JH
Published Date
- October 2017
Published In
Volume / Issue
- 31 / 5
Start / End Page
- 1849 - 1856
PubMed ID
- 28844370
Electronic International Standard Serial Number (EISSN)
- 1532-8422
Digital Object Identifier (DOI)
- 10.1053/j.jvca.2017.05.037
Language
- eng
Conference Location
- United States