Routine use of thromboelastometry (ROTEM) for coagulation evaluation (adoption of ,,new" paradigm of coagulation evaluation) in the intensive care unit leads to a significant reduction in the administration of blood plasma
Abstract
Coagulopathy in patients in intensive care is very frequent, especially in terms of prolonging the activated partial thromboplastin time or prothrombin time. In actual practice, the correction of these pathological values often indicates the administration of fresh frozen plasma, especially in the perioperative period.
Currently, many clinical reports proclaim that frozen plasma is often unnecessarily administered as global tests of coagulation such as tromboelastometry show that the overall coagulation is normal despite of pathological laboratory tests. In this paper we present the results of our clinic, where we show that after implementation of thromboelastometry into the daily practice and adoption of the new paradigm of cell model of haemostasis, administration of plasma was reduced by 66%.
This represents a significant reduction in risk for the patient as well as the financial burden for the clinic.