Point-of-care monitoring of haemostasis.
Anaesthesia
; 70 Suppl 1: 73-7, e25-6, 2015 Jan.
Article
en En
| MEDLINE
| ID: mdl-25440399
ABSTRACT
Recent research in the management of haemorrhage has led to several changes in clinical practice. Evidence is accumulating that point-of-care testing results in fewer transfusions, improved patient outcomes, and reduced hospital costs. However, there is still insufficient high quality evidence to support transfusion guidelines and algorithms based on point-of-care tests alone, and more robust studies are needed. The implementation of point-of-care testing requires institutional support and senior clinical leadership to realise the benefits, with educational programmes, audit, and feedback regarding transfusion practice. A change in philosophy is required, from performing testing only when there is an obvious bleeding problem, towards the concept of routinely monitoring high-risk patients throughout the surgical procedure. This informs clinical practice, establishes normal ranges for that population, identifies patients at risk and allows early identification and treatment of evolving coagulopathy.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Sistemas de Atención de Punto
/
Hemostasis
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Anaesthesia
Año:
2015
Tipo del documento:
Article
País de afiliación:
Reino Unido