Gómez-Bautista C, Rivera-Mexicano L, Terán-Soto JM, Herrera-Amarillas JM

Language: Spanish
References: 19
Page: 147-150
PDF size: 226.28 Kb.

ABSTRACT

Introduction: constant monitoring of the coagulation status is crucial in situations of obstetric hemorrhage. Rotational thromboelastometry is a technique that quickly and accurately assesses coagulation right at the patient's bedside and usually at intensive care units. Objective: to evaluate the usefulness of rotational thromboelastometry measurement in situations of obstetric hemorrhage in an acute period. Material and methods: prospective study in female patients with obstetric hemorrhage in the acute period. A peripheral venous blood sample was taken in the transanesthetic period of the hemorrhage for rotational thromboelastometry measurements. Results: 21 patients with obstetric hemorrhage in the immediate postpartum period were included, the most common age group was 23 to 32 years. 47.62% were overweight and the majority were between 37 and 38 weeks gestation. Three patients had hypertensive disease and 10 underwent caesarean section. 5 cases of hypofibrinogenemia were detected. These patients showed low scores in the parameters of EXTEM A5 less than 35 mm and FIBTEM less than 12mm. Conclusions: the use of rotational thromboelastometry proved to be useful in the evaluation of coagulation in these patients in the acute period of bleeding (transanesthetic period).

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