Related Experiment Video

Updated: Mar 22, 2026

Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization
06:28

Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization

Published on: June 4, 2020

7.4K

Thromboelastogram reduces blood use by inspecting coagulation in heart surgery

Funda Yildirim1, Barıs Tuncer2, Alper Ozbakkaloglu2

  • 1Department of Cardiovascular Surgery, Celal Bayar University Faculty of Medicine, Manisa, Turkey fundanizamoglu@yahoo.com.

Asian Cardiovascular & Thoracic Annals
|May 1, 2016
PubMed

Insights

Rotational thromboelastography significantly reduced blood product use and postoperative bleeding in coronary artery bypass patients. This blood management strategy optimizes transfusion practices after cardiac surgery.

Area of Science:

  • Cardiovascular Surgery
  • Anesthesiology
  • Transfusion Medicine

Background:

  • Blood transfusion is common after coronary artery bypass (CAB) surgery.
  • Current transfusion practices rely on general coagulation tests and blood counts.
  • Optimizing blood product usage is crucial for patient outcomes and resource management.

Purpose of the Study:

  • To evaluate the impact of rotational thromboelastography (ROTEM)-guided transfusion protocols on blood product utilization.
  • To compare intraoperative and postoperative blood product amounts in CAB patients managed with ROTEM versus conventional methods.

Main Methods:

  • A comparative study involving 164 patients undergoing elective CAB surgery.
  • A control group (82 patients) received transfusions based on conventional laboratory data.
  • A study group (82 patients) received transfusions guided by ROTEM results.

Main Results:

  • The ROTEM-guided group showed statistically significant reductions in intraoperative and postoperative packed red blood cell use.
  • Postoperative whole blood usage was also significantly lower in the ROTEM group.
  • A significant decrease in postoperative bleeding was observed in patients managed with ROTEM.

Conclusions:

  • ROTEM-guided transfusion algorithms can effectively reduce blood product consumption in CAB surgery.
  • Implementing ROTEM-based protocols is recommended for optimizing blood management in cardiac surgery patients.
  • This approach contributes to safer and more efficient perioperative care.
Abstract

Keywords:
Blood component transfusionBlood lossCoronary artery bypassThrombelastographysurgical

More Related Videos

Assessment of Plasma Coagulation on Liver Tissue in a Large Animal Model In Vivo06:23

Assessment of Plasma Coagulation on Liver Tissue in a Large Animal Model In Vivo

Published on: August 4, 2018

9.3K
In Vitro Thrombosis Test for Ventricular Assist Devices09:15

In Vitro Thrombosis Test for Ventricular Assist Devices

Published on: March 21, 2025

1.3K

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
459
Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
827
Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
469
Anticoagulant Drugs: Low-Molecular-Weight Heparins01:30

Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
2.3K
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
891
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
527