INTRODUCTION Routine coagulation tests have a low predictability for perioperative bleeding complications, and spinal hematoma after removal of epidural catheters is very infrequent. Thromboelastometry and point-of-care platelet aggregometry may improve hemostatic monitoring but have not been studied in the context of safety around epidural removal. METHODS Twenty patients who received an epi...

We present a case of maternal cardiac arrest during an elective cesarean delivery. Transesophageal echocardiography identified a large pulmonary artery mass, and guided resuscitation efforts. After return of spontaneous circulation, the patient developed disseminated intravascular coagulation with massive hemorrhage. Blood product selection and volume replacement were guided by rotational throm...

conclusions rotem can be used to detect postoperative hemostatic changes following cardiac surgery appropriately and can be useful to choose suitable blood products that may reduce the need for blood transfusion, contributing to better patient blood management. background coagulopathy after cardiopulmonary bypass (cpb) may lead to increased morbidity and mortality. routine conventional coagulat...

Blood dilution after transfusion fluids leads to diminished coagulant activity monitored by rotational thromboelastometry, assessing elastic fibrin clot formation, or by thrombin generation testing. We aimed to determine the contributions of blood cells (platelets, red blood cells) and plasma factors (fibrinogen, prothrombin complex concentrate) to fibrin clot formation under conditions of haem...

Background Excessive bleeding after cardiopulmonary bypass (CPB) is risk factor for adverse outcomes after elective cardiac surgery (ECS). Differentiation between patients who bleed due to surgical issues and those whose excessive chest tube output (CTO) is due to hemostatic disorder remains challenging. Study aim was to evaluate prediction of excessive bleeding after ECS using fibrin-based clo...

Since 2008, we are investigating the role of platelet function assessment and viscoelastic blood clot properties assessment in prediction of excessive bleeding after cardiac surgery procedures. In order to optimize hemostatic management in routine cardiac surgery, use of rotational thromboelastometry for heparin-protamine management should be considered. We believe that our article would be of ...