Point of care devices for assessing bleeding and coagulation in the trauma patient.
Severe trauma is associated with bleeding, coagulopathy, and transfusion of blood and blood products, all contributing to higher rates of morbidity and mortality. The aim of this review is to focus on point-of-care devices to monitor coagulation in trauma. Close monitoring of bleeding and coagulation as well as platelet function in trauma patients allows goal-directed transfusion and an optimization of the patient's coagulation, reduces the exposure to blood products, reduces costs, and probably improves clinical outcome. Noninvasive hemoglobin measurements are not to be used in trauma patients due to a lack in specificity and sensitivity.
Institute of Anesthesiology, University Zurich, University Hospital Zurich, Zurich, Switzerland. oliver.theusinger@usz.ch
Oliver M
OM
Theusinger
Jerrold H
JH
Levy
D001777:Blood Coagulation; D001792:Blood Platelets / Q000502:physiology; D006454:Hemoglobins / Q000032:analysis; D006470:Hemorrhage / Q000175:diagnosis*; D006801:Humans; D019095:Point-of-Care Systems; D013916:Thrombelastography; D014947:Wounds and Injuries / Q000097:blood*
D006454:Hemoglobins