title: TEG®- or ROTEM®-based individualized goal-directed coagulation algorithms: don't wait--act now!
abstract: In trauma patients, TEG® and ROTEM® allow prediction of massive transfusion requirement and mortality, and creation of goal-directed, individualized coagulation algorithms that may improve patient outcome. This outcome benefit has been shown for cardiac surgery in prospective randomized trials. For trauma, only non-randomized studies have been performed. Nevertheless, TEG® and ROTEM® are highly promising monitoring techniques to guide coagulation management in all types of major bleeding, including trauma.
authors: Donat R
authors: DR
authors: Spahn
mesh_terms: D001778:Blood Coagulation Disorders / Q000175:diagnosis* / Q000628:therapy*; D001803:Blood Transfusion; D006801:Humans; D013916:Thrombelastography / Q000379:methods*; D014947:Wounds and Injuries / Q000150:complications*