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Thromboelastography-Guided Transfusion Algorithm Reduces Transfusions in Complex Cardiac Surgery

Anesthesia & Analgesia · 1999 · Vol. 88(2) · pp. 312–319

Abstract

Transfusion of allogeneic blood products is common during complex cardiac surgical procedures. In a prospective, randomized trial, we compared a transfusion algorithm using point-of-care coagulation testing with routine laboratory testing, and found the algorithm to be effective in reducing transfusion requirements.

Trauma, Hemostasis, Coagulopathy, ResuscitationBlood transfusion and managementCardiac and Coronary Surgery TechniquesMedicineThromboelastographyHemostasisTransfusion therapyAnesthesiaFresh frozen plasmaSurgeryCardiopulmonary bypassCardiac surgeryCoagulation testing

MeSH terms

AgedAlgorithmsAntifibrinolytic AgentsBlood Coagulation TestsBlood TransfusionCardiopulmonary BypassDrainageFemaleFollow-Up StudiesCardiac Surgical ProceduresHemostatic TechniquesHumansIntraoperative CareMaleMiddle Aged
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