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10.1016/j.healun.2021.03.020 http://scihub22266oqcxt.onion/10.1016/j.healun.2021.03.020 33934981!ä!33934981 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Heart+Lung+Transplant 2021 ; 40 (7): 631-641 Nephropedia Template TP {{tp|p=33934981|t=2021. Rotational thromboelastometry reduces blood loss and blood product usage after lung transplantation |pdf=|usr=}}{{33934981}} gab.com Text Rotational thromboelastometry reduces blood loss and blood product usage after lung transplantation JO: J Heart Lung Transplant http://www.kidney.de/pget.php?&tw=1&pmid=33934981 #FOAvip BACKGROUND: The shortage of blood products has become a worldwide problem, especially during the COVID-19 Pandemic. Here, we investigated whether a point of care (POC) approach to perioperative bleeding and coagulopathy based on rotational thromboelastometry (ROTEM) results could decrease perioperative blood loss and the perioperative consumption of blood products during lung transplantation. METHODS: Patients undergoing bilateral lung transplantation were randomized into two groups: In the first group, designated the "non POC" group, the management of perioperative bleeding and coagulopathy was based on the clinical experience of the anesthesiologist; in the second group, designated the "POC" group, the management of perioperative bleeding, and coagulopathy was based on the ROTEM results. RESULTS: After performing an interim statistical analysis, the project was prematurely terminated as the results were significantly in favor of the POC approach. Data were analyzed for the period January 2018 until June 2020 when 67 patients were recruited into the study. There was significantly decreased perioperative blood loss in the POC group (n?=?31 patients) with p?=?0.013, decreased perioperative consumption of RBC with p?=?0.009, and decreased perioperative consumption of fresh frozen plasma with p < 0.0001 (practically no fresh frozen plasma was used in the POC group) without deteriorating clot formation in secondary and primary hemostasis as compared to the non POC group (n?=?36). CONCLUSION: POC management of perioperative bleeding and coagulopathy based on ROTEM results is a promising strategy to decrease perioperative blood loss and the consumption of blood products in lung transplantation. Twit Text FOAVip Rotational thromboelastometry reduces blood loss and blood product usage after lung transplantation ????J Heart Lung Transplant http://www.kidney.de/pget.php?&tw=1&pmid=33934981 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33934981 #FOAvip English Wikipedia <ref>{{Cite pmid|33934981}}</ref> Rotational thromboelastometry reduces blood loss and blood product usage after lung transplantation #MMPMID33934981 Durila M; Vajter J; Garaj M; Pollert L; Berousek J; Vachtenheim J Jr; Vymazal T; Lischke R J Heart Lung Transplant 2021[Jul]; 40 (7): 631-641 PMID33934981show ga BACKGROUND: The shortage of blood products has become a worldwide problem, especially during the COVID-19 Pandemic. Here, we investigated whether a point of care (POC) approach to perioperative bleeding and coagulopathy based on rotational thromboelastometry (ROTEM) results could decrease perioperative blood loss and the perioperative consumption of blood products during lung transplantation. METHODS: Patients undergoing bilateral lung transplantation were randomized into two groups: In the first group, designated the "non POC" group, the management of perioperative bleeding and coagulopathy was based on the clinical experience of the anesthesiologist; in the second group, designated the "POC" group, the management of perioperative bleeding, and coagulopathy was based on the ROTEM results. RESULTS: After performing an interim statistical analysis, the project was prematurely terminated as the results were significantly in favor of the POC approach. Data were analyzed for the period January 2018 until June 2020 when 67 patients were recruited into the study. There was significantly decreased perioperative blood loss in the POC group (n?=?31 patients) with p?=?0.013, decreased perioperative consumption of RBC with p?=?0.009, and decreased perioperative consumption of fresh frozen plasma with p < 0.0001 (practically no fresh frozen plasma was used in the POC group) without deteriorating clot formation in secondary and primary hemostasis as compared to the non POC group (n?=?36). CONCLUSION: POC management of perioperative bleeding and coagulopathy based on ROTEM results is a promising strategy to decrease perioperative blood loss and the consumption of blood products in lung transplantation. |*Pandemics[MESH] |Blood Coagulation Disorders/*diagnosis/etiology/therapy[MESH] |Blood Transfusion/methods[MESH] |COVID-19/*epidemiology[MESH] |Female[MESH] |Hemostasis/*physiology[MESH] |Humans[MESH] |Lung Transplantation/*adverse effects[MESH] |Male[MESH] |Middle Aged[MESH] |SARS-CoV-2[MESH]Rotational thromboelastometry reduces blood loss and blood product usa(epmc).pdf DeepDyve Pubget Overpricing