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Thromboelastometrically guided transfusion protocol during aortic surgery with circulatory arrest: A prospective, randomized trial  Evaldas Girdauskas,

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Presentation on theme: "Thromboelastometrically guided transfusion protocol during aortic surgery with circulatory arrest: A prospective, randomized trial  Evaldas Girdauskas,"— Presentation transcript:

1 Thromboelastometrically guided transfusion protocol during aortic surgery with circulatory arrest: A prospective, randomized trial  Evaldas Girdauskas, MD, Jörg Kempfert, MD, Thomas Kuntze, MD, Michael A. Borger, MD, PhD, Jörg Enders, MD, Jens Fassl, MD, Volkmar Falk, MD, PhD, Friedrich-Wilhelm Mohr, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 140, Issue 5, Pages e2 (November 2010) DOI: /j.jtcvs Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

2 Typical rotational thromboelastometric trace (ROTEM; Matel Medizintechnik GmbH, Munich, Germany) with key parameters. HEPTEM, Intrinsic activation plus heparinase neutralization thromboelastometry; RT, time when the ROTEM-analysis has been performed; CT, clotting time; CFT, clot formation time; α, alpha angle; MCF, maximal clot firmness; A10, A15, A20, A25, A30, clot firmness (amplitude) at 10, 15, 20, 25, and 30 minutes, respectively. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

3 Allogeneic blood units transfused during first 24 postoperative hours
Allogeneic blood units transfused during first 24 postoperative hours. ROTEM, Rotational thromboelastometrically guided protocol; RBC, red blood cell; FFP, fresh-frozen plasma; PLT, platelet concentrate; Intraop, intraoperative; postop, postoperative. The Journal of Thoracic and Cardiovascular Surgery  , e2DOI: ( /j.jtcvs ) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

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