Point of care devices for assessing bleeding and coagulation in

Anesthesiology clinics · Mar 2013

Review

Point of care devices for assessing bleeding and coagulation in the trauma patient.

Severe trauma is associated with bleeding, coagulopathy, and transfusion of blood and blood products, all contributing to higher rates of morbidity and mortality. The aim of this review is to focus on point-of-care devices to monitor coagulation in trauma. Close monitoring of bleeding and coagulation as well as platelet function in trauma patients allows goal-directed transfusion and an optimization of the patient's coagulation, reduces the exposure to blood products, reduces costs, and probably improves clinical outcome. Noninvasive hemoglobin measurements are not to be used in trauma patients due to a lack in specificity and sensitivity.

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- Oliver M Theusinger and Jerrold H Levy.
- Institute of Anesthesiology, University Zurich, University Hospital Zurich, Zurich, Switzerland. oliver.theusinger@usz.ch
- Anesthesiol Clin. 2013 Mar 1;31(1):55-65.
AbstractSevere trauma is associated with bleeding, coagulopathy, and transfusion of blood and blood products, all contributing to higher rates of morbidity and mortality. The aim of this review is to focus on point-of-care devices to monitor coagulation in trauma. Close monitoring of bleeding and coagulation as well as platelet function in trauma patients allows goal-directed transfusion and an optimization of the patient's coagulation, reduces the exposure to blood products, reduces costs, and probably improves clinical outcome. Noninvasive hemoglobin measurements are not to be used in trauma patients due to a lack in specificity and sensitivity.Copyright © 2013 Elsevier Inc. All rights reserved.

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Point of care devices for assessing bleeding and coagulation in the trauma patient.

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