CC-BY-NC-ND 4.0 · J Card Crit Care 2017; 1(02): 108-110
DOI: 10.1055/s-0038-1624063
Point of Technique
Thieme Medical and Scientific Publishers Private Ltd. 2017

Is Rotational Thromboelastometry the Answer for Rapid Prediction of Coagulopathy on Extracorporeal Membrane Oxygenation?

Ameya Karanjkar
1  Department of Cardiac Anaesthesia, Cardio Thoracic Centre, All India Institute of Medical Sciences (AIIMS), New Delhi
,
Vandana Bhardwaj
1  Department of Cardiac Anaesthesia, Cardio Thoracic Centre, All India Institute of Medical Sciences (AIIMS), New Delhi
,
Poonam Malhotra Kapoor
1  Department of Cardiac Anaesthesia, Cardio Thoracic Centre, All India Institute of Medical Sciences (AIIMS), New Delhi
› Author Affiliations

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Publication History

Publication Date:
07 March 2018 (online)

Abstract

Extracorporeal membrane oxygenation (ECMO) induces a variety of changes in hemostatic system due to various reasons such as exposure to the extracorporeal circuit, activation of the coagulation and complement pathways, consumption of platelets, activation of various mediators of inflammation, and imbalance between clot formation and resorption. Giving cryoprecipitate and platelet concentrates is more important than adding whole blood in these patients. EXTEM CT and FIBTEM A5 give results within a few minutes and shortened turnaround time brings imported results.