RESUMEN
Subarachnoid hemorrhage after cerebral aneurysm rupture (aSAH) leads to delayed cerebral ischemia (DCI) in 25-35% of surviving patients. It is believed that DCI has a multifactorial etiology, including vasospasm. Furthermore, aSAH is associated with the development of hypercoagulation and microthrombosis; thus, its pharmacological correction may help to prevent DCI. We encountered a case where hypercoagulation was detected using rotational thromboelastometry (ROTEM), although the standard coagulation test results were within the normal ranges. Based on reviews of viscoelastic tests in cases of aSAH, ROTEM could be more sensitive to hypercoagulation after aSAH, compared to standard coagulation testing.
Asunto(s)
Isquemia Encefálica , Infarto Cerebral , Aneurisma Intracraneal , Hemorragia Subaracnoidea , Trombofilia , Isquemia Encefálica/etiología , Infarto Cerebral/complicaciones , Humanos , Aneurisma Intracraneal/complicaciones , Hemorragia Subaracnoidea/diagnóstico , Hemorragia Subaracnoidea/etiología , Tromboelastografía , Trombofilia/complicacionesRESUMEN
Data collected in electronic patient records (EPR) databases may be used for different goals besides their direct purpose - information support for medical staff in their everyday activities. One of the most promising spheres is a monitoring of various processes induced in medical facility. In our studies EPR serves as a basis for healthcare associated infections (HAI) surveillance system at neurosurgical intensive care unit. The results of HAI prospective surveillance using EPR are presented and discussed.