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    Is thromboelastography (TEG)-based resuscitation better than empirical 1:1 transfusion?

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    Author
    Howley, I.W.
    Haut, E.R.
    Jacobs, L.
    Date
    2018
    Journal
    Trauma Surgery and Acute Care Open
    Publisher
    BMJ Publishing Group
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://dx.doi.org/10.1136/tsaco-2017-000140
    Abstract
    Thomboelastography (TEG) is a whole blood measure of coagulation which was originally described in the 1950s. However, it has only been in the last few decades that assays have become accessible and viable as a point-of-care test. Following the observation that hemorrhagic shock is associated with an intrinsic coagulopathy, TEG has been used as a method of diagnosing specific coagulation defects in order to direct individualized blood products resuscitation. An alternative transfusion strategy is the administration of fixed ratio products, a paradigm borne out of military experience. It is unknown which strategy is superior and this topic was debated at the 36th Annual Point/Counterpoint Acute Care Surgery Conference. The following article summarizes the discussants points of view along with a summary of the evidence.Level of Evidence Level III. Copyright Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved.
    Keyword
    1:1 resuscitation
    Thromboelastography
    Resuscitation
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051277801&doi=10.1136%2ftsaco-2017-000140&partnerID=40&md5=ba0b60ee7346fcfc039e053ad3d8b2ee; http://hdl.handle.net/10713/9101
    ae974a485f413a2113503eed53cd6c53
    10.1136/tsaco-2017-000140
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