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

Published

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

Pubmed Central 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