[Coagulation therapy in multiple trauma without point-of-care testing]. / Gerinnungstherapie beim Polytrauma ohne Point-of-care-Testung.
Unfallchirurg
; 117(2): 105-10, 2014 Feb.
Article
em De
| MEDLINE
| ID: mdl-24482058
ABSTRACT
Analysis of blood coagulation with thrombelastometry (ROTEM™) and thrombelastography (TEG™) and analysis of thrombocyte function by a Multiplate™ assay is possible in only a few hospitals in Germany. Recently, the grade of recommendation (GoR) for point-of-care (POC) testing in official guidelines was increased and is now classified as GoR 1C. If a POC-based option is not available alternatives must be used. Besides blood products (RBC, FFP, TC), coagulation factor concentrates are used to treat trauma-induced coagulopathy. The benefits of therapy with factor concentrates are fewer immunological and infection side effects as well as faster effects after administration of specific coagulation factors. A good outcome in patients with multiple trauma is only possible by an adequate transfusion regime and administration of coagulation factors.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos da Coagulação Sanguínea
/
Testes de Coagulação Sanguínea
/
Fatores de Coagulação Sanguínea
/
Traumatismo Múltiplo
/
Transfusão de Componentes Sanguíneos
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
De
Revista:
Unfallchirurg
Assunto da revista:
TRAUMATOLOGIA
Ano de publicação:
2014
Tipo de documento:
Article