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Point-of-Care Viscoelastic Testing Improves the Outcome of Pregnancies Complicated by Severe Postpartum Hemorrhage

Snegovskikh, D.; Souza, D.; Walton, Z.; Dai, F.; Rachler, R.; Garay, A.; Snegovskikh, V.V.; Braveman, F.R.; Norwitz, E.R.

Obstetric Anesthesia Digest: June 2018 - Volume 38 - Issue 2 - p 82–83
doi: 10.1097/01.aoa.0000532275.59978.32
Mechanisms, Equipment, Hazards

(J Clin Anesth. 2018;44:50–56)

Standardized hospital protocols that address severe postpartum hemorrhage (PPH), or estimated blood loss >1500 mL following delivery, generally follow principles of empiric resuscitation, favoring early transfusion of high volumes of fresh frozen plasma, packed red blood cells, and platelets. However, it has been suggested that blood product resuscitation should be individualized and adjusted according to the results of point-of-care viscoelastic testing (PCVT). In the present study, the authors compared clinical outcomes [volume of transfused blood products, rate of volume overload, and rate of intensive care unit (ICU) admission] and hospital costs for patients with severe PPH managed with and without PCVT-guided transfusion protocol.

Anesthesia Associates of Willimantic, P.C., Willimantic, CT

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