Viscoelastic hemostasis assay guided diagnosis and treatment of trauma-induced coagulopathy
Journal Title: Journal of Surgery : Concepts & Practice - Year 2023, Vol 28, Issue 5
Abstract
The diagnosis and treatment of trauma-induced coagulopathy is an important part of the treatment of severe trauma patients. Trauma-induced coagulopathy has two phenotypes: hypercoagulability and hypocoagulability. The phenotype of coagulopathy in the early stage of trauma patients is variable. Viscoelastic hemostatic assay can reflect the full picture of coagulation in trauma patients. It can guide clinicians to quickly identify different phenotypes of trauma-induced coagulopathy, and fine manage different phenotypes of coagulopathy. This paper introduced the detection methods and principles of common viscoelastic hemostasis assays, and summarized the diagnosis and treatment methods based on viscoelastic hemostasis assay in different phenotypes of trauma-induced coagulopathy from literature, aimed to provide elicitation of diagnosis and treatment for clinicians.
Authors and Affiliations
Tuo SHEN, Feng ZHU
Development and prospects of ERCP in China
Endoscopic retrograde cholangio-pancreatography (ERCP) is an interventional endoscopic technique aimed at the diagnoses and treatment of biliary and pancreatic diseases under the guidance of endoscopy and X-ray ima-ging....
Evolution of anatomical hepatectomy
Development and prospect of laparoscopic living donor hepatectomy
In recent years, benifit by the advancement of minimally invasive surgical techniques, laparoscopic living donor hepatectomy(LLDH) has experienced rapid development. Since this technology was first reported in 2002, ma...
Progress of minimally invasive thyroid surgery
The incidence of thyroid cancer has increased in recent years. The desire for aesthetics and quality of life, combined with the development of energy devices and robotics make surgeons introduction of minimally invasive...
Current status and prospect of conversion therapy for far-advanced gastric cancer
The treatment of far-advanced gastric cancers has always been challenging. Due to the presence of metastases, stage Ⅳ gastric cancers are often difficult to achieve radical resection. Conversion therapy refers to non-sur...