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Medizinische Klinik, Intensivmedizin und Notfallmedizin
Nov, 2011;106 (3): 171-6.

[Current coagulation diagnostics in intensive care medicine].

T Lang
Author Information
  1. T Lang: Gerinnungsambulanz Südheide, Tiergarten 2, 29362, Hohne, Germany. t.lang@gerinnungsambulanz-suedheide.de
PMID: 22068755 DOI: 10.1007/s00063-011-0018-5

Abstract

In the preoperative setting, a standardized questionnaire on bleeding history cannot be replaced by the Quick test or activated partial thromboplastin time (APTT) measurement. Thrombelastometry provides rapid measurement of coagulation in the intra- and postoperative settings. Besides the Quick test and APTT, thrombelastometry provides information about clot firmness and clot stability. This allows goal-directed management in coagulopathy, which results in a reduction of transfusion of blood products. Furthermore, this can lead to not only an overall reduced length of stay in the hospital, but also in the intensive care unit, thus, contributing to a significant cost reduction.

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MeSH Term

Anticoagulants
Aspirin
Blood Coagulation Tests
Clopidogrel
Cost-Benefit Analysis
Early Diagnosis
Fibrinolysis
Germany
Hemorrhagic Disorders
Humans
Partial Thromboplastin Time
Platelet Aggregation
Postoperative Hemorrhage
Predictive Value of Tests
Preoperative Care
Prothrombin Time
Thrombelastography
Ticlopidine

Chemicals

Anticoagulants
Clopidogrel
Ticlopidine
Aspirin
Journal Article Review

Word Cloud

Created with Highcharts 10.0.0QuicktestAPTTmeasurementprovidescoagulationclotreductionintensivecarepreoperativesettingstandardizedquestionnairebleedinghistoryreplacedactivatedpartialthromboplastintimeThrombelastometryrapidintra-postoperativesettingsBesidesthrombelastometryinformationfirmnessstabilityallowsgoal-directedmanagementcoagulopathyresultstransfusionbloodproductsFurthermorecanleadoverallreducedlengthstayhospitalalsounitthuscontributingsignificantcost[Currentdiagnosticsmedicine]

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