Viscoelastic Monitoring in Liver Transplantation

Cirrhosis and liver transplantation (LT) surgery are associated with substantial alterations to the patient’s coagulation status. Accurate monitoring of these changes during LT can help manage bleeding proactively and potentially reduce transfusion requirements. Unlike conventional coagulation tests...

Full description

Saved in:
Bibliographic Details
Published inLiver transplantation Vol. 28; no. 6; pp. 1090 - 1102
Main Authors Malleeswaran, Selvakumar, Sivajothi, Sivanesan, Reddy, Mettu Srinivas
Format Journal Article
LanguageEnglish
Published United States Wolters Kluwer Health, Inc 01.06.2022
Subjects
Blood Coagulation Disorders - diagnosis
Blood Coagulation Disorders - etiology
Blood Coagulation Tests
Blood Transfusion
Cirrhosis
Coagulation
Hemorrhage
Humans
Liver cirrhosis
Liver transplantation
Liver Transplantation - adverse effects
Liver transplants
Thrombelastography
Viscoelasticity
Online AccessGet full text

Cover

More Information
Summary:Cirrhosis and liver transplantation (LT) surgery are associated with substantial alterations to the patient’s coagulation status. Accurate monitoring of these changes during LT can help manage bleeding proactively and potentially reduce transfusion requirements. Unlike conventional coagulation tests (CCTs), viscoelastic monitoring (VEM) can provide an accurate, real‐time, point‐of‐care assessment of coagulation status during LT and hence has become an invaluable tool for anesthetists and intensive care physicians. However, it remains an enigmatic subject for transplantation surgeons who are more conversant with CCTs. This review discusses the principles of VEM, provides a primer to understanding and interpreting its output, and explains how it can be used to make real‐world clinical decisions during LT.
Bibliography:Potential conflict of interest: Nothing to report.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
ObjectType-Review-3
content type line 23
ISSN:1527-6465
1527-6473
1527-6473
DOI:10.1002/lt.26352