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Editorial
. 2025 Feb;134(2):270-273.
doi: 10.1016/j.bja.2024.12.005. Epub 2025 Jan 10.

New device, old algorithm? Bridging generations in perioperative coagulation management

Andrew R Milewski  1 , Marguerite M Hoyler  1 , Thorsten Haas  2 , Melissa M Cushing  3
Affiliations
Editorial

New device, old algorithm? Bridging generations in perioperative coagulation management

Andrew R Milewski et al. Br J Anaesth. 2025 Feb.

Abstract

Viscoelastic testing permits targeted correction of coagulopathy in bleeding patients. As new generations of viscoelastic testing platforms become available, research exploring similarities and differences with older devices can provide insight for institutions seeking to use the newer technologies. Care must be taken to ensure such studies are designed to produce clinically meaningful guidance for adapting existing treatment algorithms to accommodate the latest viscoelastic testing technology.

Keywords: ROTEM; anaesthesia; bleeding; cardiac surgery; coagulopathy; viscoelastic testing.

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Conflict of interest statement

Declaration of interest MC is a member of the associate editorial board of the British Journal of Anaesthesia. The other authors have no conflicts to declare.

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