Goal-directed hemostatic therapy using the rotational thromboelastometry in patients requiring emergent cardiovascular surgery

Hemostatic management in complex aortic surgery: a role for multiple electrode aggregometry and modified rotational thromboelastometry.

Intraoperative Goal-directed Fluid Therapy in Elective Major Abdominal Surgery

Objectives: To compare the effects of intraoperative goal-directed fluid therapy (GDFT) with conventional fluid therapy, and determine whether there was a difference in outcome between studies that did and did not use Enhanced Recovery After Surgery (ERAS) protocols. Methods: Meta-analysis of randomized controlled trials of adult patients undergoing elective major abdominal surgery comparing in...

Rotational thromboelastometry predicts thromboembolic complications after major non-cardiac surgery

INTRODUCTION Thromboembolic complications contribute substantially to perioperative morbidity and mortality. Routine laboratory tests do not detect patients with acquired or congenital hypercoagulability who may be at increased risk of perioperative thromboembolism. Rotational thromboelastometry (ROTEM) is a digitized modification of conventional thromboelastography that is stable and technical...

Ossicular Erosion in Patients Requiring Surgery for Cholesteatoma

Introduction: The aim of this study was to evaluate the condition of the ossicular chain in patients requiring surgery for cholesteatoma.  Materials and Methods: In a retrospective analysis, the destruction of the individual and combined bony structures of the ear was described in 166 patients with cholesteatoma who went through surgery in our Otology Center between 2003 and 2009.  Results:...

Is Off-pump Cardiac Surgery Ready for Goal-directed Therapy?

387 The Editor, With great interest, I have read the article by Kapoor et al. recently published.[1] Hemodynamic monitoring to improve the outcome on high‐risk patient and intensive care patients has been the focus of research for many years. Recently, negative studies were published.[2,3] Many confounders exist because of the complexity of these patient groups. When “soft” end‐points are used,...