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[Point-of-care Coagulation Testing in Neurosurgery]. / Point-of-Care-Gerinnungsdiagnostik in der Neurochirurgie.
Article em De | MEDLINE | ID: mdl-29945284
ABSTRACT
Disorders of the coagulation system can seriously impact the clinical course and outcome of neurosurgical patients. Due to the anatomical location of the central nervous system within the closed skull, bleeding complications can lead to devastating consequences such as an increase in intracranial pressure or enlargement of intracranial hematoma. Point-of-care (POC) devices for the testing of haemostatic parameters have been implemented in various fields of medicine. Major advantages of these devices are that results are available quickly and that analysis can be performed at the bedside, directly affecting patient management. POC devices allow identification of increased bleeding tendencies and therefore may enable an assessment of hemorrhagic risks in neurosurgical patients. Although data regarding the use of POC testing in neurosurgical patients are limited, they suggest that coagulation testing and hemostatic therapy using POC devices might have beneficial effects in this patient population. This article provides an overview of the application of point-of-care coagulation testing in clinical practice in neurosurgical patients.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sistemas Automatizados de Assistência Junto ao Leito / Procedimentos Neurocirúrgicos / Neurocirurgia Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Humans Idioma: De Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sistemas Automatizados de Assistência Junto ao Leito / Procedimentos Neurocirúrgicos / Neurocirurgia Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Humans Idioma: De Ano de publicação: 2018 Tipo de documento: Article