title: Simulation in coagulation testing using rotational thromboelastometry: A fast emerging, reliable point of care technique.
abstract: Computer simulations can come in handy to train medical personnel with necessary skills to face the clinical scenarios involving various coagulopathies. Now a days, point of care (POC) devices such as thromboelastography, Sonoclot analyzer and newly approved rotational thromboelastometry (ROTEM) with faster results to assess coagulopathies are available on bedside of patients. ROTEM is emerging as a quick, portable, and well-validated device to evaluate coagulopathy in critical care and perioperative setup. A novel platelet-aggregometry integrated module enables simultaneous analysis of platelets as well as coagulation tests on the same screen. The entire gamut of POC signature curves obtained with different coagulation defects can be learned with graphical simulations. These simulations can be a valuable strategy to elucidate latent conditions, for which simulation interventions can then be designed to mimic different clinical scenarios.
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, Essen, Germany.
authors.forename: Klaus
authors.initials: K
authors.lastname: Gorlinger
authors.affiliation: Department of Cardiac Anaesthesiology, Cardio Thoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Vandana
authors.initials: V
authors.lastname: Bhardwaj
authors.affiliation: Department of Cardiac Anaesthesiology, Cardio Thoracic Centre, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Poonam Malhotra
authors.initials: PM
authors.lastname: Kapoor
mesh_terms: D001778:Blood Coagulation Disorders / Q000175:diagnosis*; D001780:Blood Coagulation Tests / Q000379:methods; D003198:Computer Simulation; D003422:Critical Care / Q000379:methods; D006801:Humans; D019095:Point-of-Care Systems; D013916:Thrombelastography / Q000379:methods*