Scholarlink

Purpose of the Review <p>Perioperative coagulopathy diagnosis and management are essential. When performed in a timely manner, they improve patient outcomes and reduce healthcare costs. A well-established, rapid and efficient coagulation testing tool can help achieve this goal.</p> Findings <p>Viscoelastic coagulation testing (VET) evaluates multiple components of the coagulation cascade simultaneously and rapidly. It can provide a real time and dynamic assessment of coagulopathy and help tailor treatment specific to the underlying cause. The most common VETs available for use in the perioperative period are rotational thromboelastometry (ROTEM; Bedford, MA) and thromboelastography (TEG; Haemonetics. Boston, MA). A newer, second-generation device using sonorrheometry (Quantra; Hemosonics, LLC, Durham, NC) is also starting to be used in the perioperative period.</p> Summary <p>Viscoelastic coagulation testing remains a valuable tool in multiple clinical settings. Its ability to provide real-time, comprehensive assessments of coagulation status offers unique advantages, particularly in complex surgical cases or patients with coagulopathy. However, its limitations underscore the importance of judicious utilization, ongoing education, and further research to optimize its clinical utility in the perioperative period.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Viscoelastic Coagulation Testing in the Perioperative Period – Pros and Cons

  • 期刊论文

  • 发表日期：

    2026年4月14日

查看全文
  • Jaclyn Mueller,
  • Katherine T. Forkin,
  • Samhati Mondal

摘要

Purpose of the Review

Perioperative coagulopathy diagnosis and management are essential. When performed in a timely manner, they improve patient outcomes and reduce healthcare costs. A well-established, rapid and efficient coagulation testing tool can help achieve this goal.

Findings

Viscoelastic coagulation testing (VET) evaluates multiple components of the coagulation cascade simultaneously and rapidly. It can provide a real time and dynamic assessment of coagulopathy and help tailor treatment specific to the underlying cause. The most common VETs available for use in the perioperative period are rotational thromboelastometry (ROTEM; Bedford, MA) and thromboelastography (TEG; Haemonetics. Boston, MA). A newer, second-generation device using sonorrheometry (Quantra; Hemosonics, LLC, Durham, NC) is also starting to be used in the perioperative period.

Summary

Viscoelastic coagulation testing remains a valuable tool in multiple clinical settings. Its ability to provide real-time, comprehensive assessments of coagulation status offers unique advantages, particularly in complex surgical cases or patients with coagulopathy. However, its limitations underscore the importance of judicious utilization, ongoing education, and further research to optimize its clinical utility in the perioperative period.