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2023, Number 08

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Revista Médica Sinergia 2023; 8 (08)

Utility of viscoelastic tests in trauma patient

Campos ZMF, Sánchez VA, Barboza OJS
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Language: Spanish
References: 24
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Key words:

viscoelastic test, trauma, coagulopathy, thromboelastography, thromboelastrometry.

ABSTRACT

Trauma-induced coagulopathy is a complication suffered by polytraumatized patients with severe injuries, causing intense bleeding early, and thrombotic alterations in its late phase. It is a pathology that must be recognized quickly, and give a targeted treatment at the phases of the coagulation process in which the problem occurs, otherwise the patient has a high probability of dying. Viscoelastic tests are a hematological type test, in which a graphic type assessment of coagulation is made, providing real-time information on the patient's hemostatic state in a kinetic, sequential manner and includes dynamic changes that may arise during the process. It provides a very fast report compared to conventional coagulation tests, and facilitates the individualized choice of blood components to be transfused. With this review, it´s shown the usefulness of viscoelastic tests in the approach to a polytraumatized patient, because it makes it easier for the physician to make decisions on resuscitation of the patient quickly and safely, achieving adequate stabilization and finally avoiding complications.


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Revista Médica Sinergia. 2023;8