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[Hemostasis management based on ROTEM(®): contra]

Beate Kehrel1

  • 1Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Münster, Germany. kehrel@uni-muenster.de

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|May 12, 2011
PubMed

Diagnostic point of care testing based on thrombelastometry with the aim to fully understand the overall changes in global haemostasis during the perioperative phase is today performed in several operating theatres. Therapeutic measures are based on these laboratory results. Within the scope of a pro and contra outline of the journal this paper comment, why point of care diagnostic solely based on laboratory testing using the ROTEM is not recommendable. On the other hand the author values the thrombelastometry as a supplementary supportive method used directly by haemostasis specialists or in a tight cooperation with such skilled specialists.

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