2015, Number 616
Coagulopatía inducida por trauma
Language: Spanish
References: 11
Page: 647-651
PDF size: 136.39 Kb.
ABSTRACT
Trauma is responsible for 5 million annual deaths around the world with hemorrhage being the principal cause of preventable death in these patients. It has been documented that 25% of the trauma victims have coagulopathy at the time of presentation in the emergency department. The factors that are associated to these bleeding disorders induced by trauma are tissue trauma, systemic hypotension, the activation and consumption of clotting coagulation is a test that is based on a small segment of the total coagulation cascade. Due to this and other limitations, it has presently become important to use Thromboelastography (TEG) and rotation tromboelastometry (ROTEM) to evaluate the real time of the coagulation process. The treatment for adequate hemostatic resuscitation that is needed by the patient can result in a dramatic improvement in the morbidity and mortality for this patient group.REFERENCES
Colaboradores del estudio CRASH-2, Shakur H, Roberts I, Bautista R, Caballero J, Coast T, Dewan Y, El- Sayed H, Gogichaishvili T, Gupta S, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusión in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebocontrolled trial. The Lancet. 2010 Jul 3; 376 (9734): 23 – 32.
Spahn D, Bouillon B, Cerny V, Coats T, Duranteau J, Fernández-Mondéjar E, Filipescu D, Hunt B, Komadina R, Nardi G, Neugebauer E, Ozier Y, Riddez L, Schultz A, Vicent J, Rossaint R. Managment of bleeding and coagulopathy following major trauma: an updated European guideline. Critical Care. 2013 Apr 19;17(2): R76.