Title :

Position of the French Working Group on Perioperative Haemostasis (GIHP) on viscoelastic tests: What role for which indication in bleeding situations?

Author(s) :

Roullet, Stéphanie [Auteur]
Université de Bordeaux [UB]
de Maistre, Emmanuel [Auteur]
Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand [CHU Dijon]
Ickx, Brigitte [Auteur]
Blais, Normand [Auteur]
Susen, Sophie [Auteur]
Récepteurs Nucléaires, Maladies Métaboliques et Cardiovasculaires - U 1011 [RNMCD]
Faraoni, David [Auteur]
Garrigue, Delphine [Auteur]
Bonhomme, Fanny [Auteur]
Hôpitaux Universitaires de Genève [HUG]
Godier, Anne [Auteur]
Lasne, Dominique [Auteur]
Laboratory of molecular mechanisms of hematologic disorders and therapeutic implications [ERL 8254 - Equipe Inserm U1163]

Journal title :

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE

Pages :

539-548

Publisher :

Elsevier Masson

Publication date :

2019-10

ISSN :

2352-5568

English keyword(s) :

Viscoelastic tests Thromboelastography Thromboelastometry Severe trauma Cardiac surgery Liver transplantation

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Purpose Viscoelastic tests (VETs), thromboelastography (TEG ®) and thromboelastometry (ROTEM ®) are global tests of coagulation performed on whole blood. They evaluate the mechanical strength of a clot as it builds and ...
Show more >Purpose Viscoelastic tests (VETs), thromboelastography (TEG ®) and thromboelastometry (ROTEM ®) are global tests of coagulation performed on whole blood. They evaluate the mechanical strength of a clot as it builds and develops after coagulation itself. The time required to obtain haemostasis results remains a major problem for clinicians dealing with bleeding, although some teams have developed a rapid laboratory response strategy. Indeed, the value of rapid point-of-care diagnostic devices such as VETs has increased over the years. However, VETs are not standardised and there are few recommendations from the learned societies regarding their use. In 2014, the recommendations of the International Society of Thrombosis and Haemostasis (ISTH) only concerned haemophilia. The French Working Group on Perioperative haemostasis (GIHP) therefore proposes to summarise knowledge on the clinical use of these techniques in the setting of emergency and perioperative medicine. Methods A review of the literature. Principal findings The role of the VETs seems established in the management of severe trauma and in cardiac surgery, both adult and paediatric. In other situations, their role remains to be defined: hepatic transplantation, postpartum haemorrhage, and non-cardiac surgery. They must be part of the global management of haemostasis based on algorithms defined in each centre and for each population of patients. Their position at the bedside or in the laboratory is a matter of discussion between clinicians and biologists. Conclusion VETs must be included in algorithms. In consultation with the biology laboratory, these devices should be situated according to the way each centre functions.Show less >

Language :

Anglais

Popular science :

Non

Collections :

• Récepteurs nucléaires, Maladies Cardiovasculaires et Diabète (RNMCD) - U1011

Source :

Harvested from HAL

Submission date :

2024-01-12T03:41:32Z