Abstrakt
Viscoelastic method rotational thromboelastometry (ROTEM) is incorporated in European and Czecho-slovak guidelines for management of heavy bleeding. The justification for this method is that it enables a rapid diagnosis of coagulopathy at the patient's bed and in certain situations alternates the commonly used PT/APTT plasma tests.
For a better understanding of the principle of this test, the author describes the physiology of a new model of cellular haemostasis that promotes the investigation of clotting in the whole blood. The article also provides practical information for evaluation of ROTEM results and an overview of medical fields where this method is currently being successfully used.
In general, the use of the ROTEM method allows aimed treatment of coagulopathy, resulting in the reduction in bleeding intensity and a significant reduction in transfusion of blood products, especially fresh frozen plasma.