Comparison of the diagnostic capabilities of rotational thromboelastometry (ROTEM) and standard coagulogram in the detection of disorder and correction of the hemostasis system in the perioperative period in patients who underwent surgical intervention on the aorta under cardiopulmonary bypass and or circulatory arrest.
The patient is monitored in the intensive care unit according to the following scheme: ROTEM (NATEM, INTEM, EXTEM, FIBTEM; with high clotting time (CT) values in INTEM - HEPTEM is done) and a coagulogram (activated coagulation time (ACT), activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time (TT), fibrinogen, antithrombin III, platelet aggregation) are done on admission and after 6 hours - with a smooth course of the perioperative period. If it is necessary or the development of disorders in the form of bleeding or thrombosis that require correction, ROTEM and a coagulogram are done, treatment is carried out, and after elimination of the causes, ROTEM and a coagulogram are examined in dynamics to assess the effectiveness of the therapy.
Study Type
OBSERVATIONAL
Enrollment
81
ROTEM and standard coagulation tests assessment
Petrovsky National Research Centre of Surgery
Moscow, Russia
The coagulation index
Сhanges of the coagulation index
Time frame: an average of during the first day after surgery
Activated coagulation time
Сhanges of the activated coagulation time
Time frame: an average of during the first day after surgery
Percentage of repeated operations
Percentage of repeated operations
Time frame: an average of 24 hours after surgery
Percentage of multiple organ failure
Percentage of multiple organ failure
Time frame: an average of 24 hours after surgery
Percentage of serious infectious complication
Percentage of serious infectious complication
Time frame: an average of 24 hours after surgery
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