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KMID : 0387720180290030240
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Korean Journal of Blood Transfusion
2018 Volume.29 No. 3 p.240 ~ p.252
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Viscoelastic Coagulation Test Guided Therapy for a Strategy to Reduce Transfusions
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Park Sun-Young
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Abstract
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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.
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KEYWORD
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Blood coagulation disorders, Blood coagulation tests, Blood transfusion, Thromboelastography
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