Benefit of Rotational Thromboelastometry (ROTEM) in Open Cardiac Surgery

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Napipada Tangcharoenwathanakul


 Cardiac surgery involves a large of blood loss. Eighty percent of the patients undergoing open cardiac surgery receive blood component transfusions. Nowadays, rotational thromboelastometry (ROTEM) is used to evaluate disorders of blood clotting factors and the fibrinolytic process. This diagnostic test can be done in the operating room perioperatively and the ROTEM results are rapidly available. The anesthesiologist can use the ROTEM monitoring assays to guide blood transfusion during cardiac surgery. This review is aimed to summarize the previous studies. Benefits of using ROTEM help anesthesiologists comprehend and be able to deal with their patients.

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Review articles


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