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Review
. 2024 Feb;73(2):110-123.
doi: 10.1007/s00101-023-01368-z. Epub 2024 Jan 23.

[Update on point-of-care-based coagulation treatment : Systems, reagents, device-specific treatment algorithms]

[Article in German]
Felix C F Schmitt  1 , Herbert Schöchl  2   3 , Kathrin Brün  4 , Sascha Kreuer  4   5 , Sven Schneider  4 , Stefan Hofer  6 , Christian F Weber  7   8
Affiliations
Review

[Update on point-of-care-based coagulation treatment : Systems, reagents, device-specific treatment algorithms]

[Article in German]
Felix C F Schmitt et al. Anaesthesiologie. 2024 Feb.

Abstract
in English, German

Viscoelastic test (VET) procedures suitable for point-of-care (POC) testing are in widespread clinical use. Due to the expanded range of available devices and in particular due to the development of new test approaches and methods, the authors believe that an update of the current treatment algorithms is necessary. The aim of this article is to provide an overview of the currently available VET devices and the associated reagents. In addition, two treatment algorithms for the VET devices most commonly used in German-speaking countries are presented.

Point-of-care(POC)-taugliche viskoelastische Testverfahren (VET) sind im klinischen Einsatz weitverbreitet. Aufgrund des erweiterten Spektrums an verfügbaren Geräten und insbesondere durch die Entwicklung neuer Testansätze bzw. -methoden ist aus Sicht der Autoren ein Update der aktuellen Behandlungsalgorithmen notwendig. Ziel dieses Artikels ist es, einen Überblick sowohl über die aktuell verfügbaren VET-Geräte als auch über die dazugehörigen Reagenzien zu vermitteln. Darüber hinaus werden 2 Therapiealgorithmen für die am häufigsten im deutschsprachigen Raum eingesetzten VET-Geräte vorgestellt.

Keywords: Bleeding; Coagulopathie; Hemorrhage; Massiv-transfusion; Trauma.

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