title: [Point-of-care-testing and haemostaseological treatment algorithms].
abstract: In patients suffering from acute haemorrhages, a prompt, targeted and restrained coagulation management is required. This should be based on a contemporary and sophisticated analysis of the coagulation system. Standard parameters (e.g. prothrombin time, international normalized ratio, plasma levels of fibrinogen, thrombocyte count etc.) seem not to be feasible, since they are hallmarked by a limited diagnostic value as well as a relevant turn around time. Bedside tools of haemostaseological point-of-care-testing (POCT, e.g. viscoelastic and aggregometric POCT) were shown to be superior in this setting. Especially the implementation of POCT-based treatment algorithms for patients suffering from acute haemorrhages was able to improve patient' outcome and resulted in reduced haemotherapy-associated costs.
authors.affiliation: Klinik für Anästhesiologie des Universitätsklinikums Heidelberg. thorsten.brenner@med.uni-heidelberg.de
authors.forename: Thorsten
authors.initials: T
authors.lastname: Brenner
authors.forename: Stefan
authors.initials: S
authors.lastname: Hofer
mesh_terms: D000465:Algorithms; D001778:Blood Coagulation Disorders / Q000175:diagnosis*; D001780:Blood Coagulation Tests / Q000295:instrumentation / Q000379:methods*; D003661:Decision Support Techniques; D003951:Diagnostic Errors / Q000517:prevention & control*; D006470:Hemorrhage / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D019095:Point-of-Care Systems