Is thromboelastography (TEG)-based resuscitation better than empirical 1:1 transfusion?
JournalTrauma Surgery and Acute Care Open
PublisherBMJ Publishing Group
MetadataShow full item record
AbstractThomboelastography (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.
Identifier to cite or link to this itemhttps://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