Rotational thromboelastometry and patient blood management: A narrative review
Limitation of standard coagulation tests in early detection of coagulopathy leads to empirical decision-making for the management of the coagulopathy, which in many cases is accompanied by improper transfusion. Some studies have investigated the role of rotational thromboelastometry (ROTEM) in reduc...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Asian Journal of Transfusion Science |
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| Online Access: | https://journals.lww.com/10.4103/ajts.ajts_18_23 |
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| author | Elham Khalaf-Adeli Fatemeh Tobeyani |
| author_facet | Elham Khalaf-Adeli Fatemeh Tobeyani |
| author_sort | Elham Khalaf-Adeli |
| collection | DOAJ |
| description | Limitation of standard coagulation tests in early detection of coagulopathy leads to empirical decision-making for the management of the coagulopathy, which in many cases is accompanied by improper transfusion. Some studies have investigated the role of rotational thromboelastometry (ROTEM) in reducing the need for blood products in different clinical conditions, which have been associated with different results. Whether ROTEM as a point of care test reduces the need for transfusion in all clinical settings is still a question. A brief introduction of methodology of ROTEM and its role in patient blood management (PBM) approach is explored in this review. Search was performed to find literature describing ROTEM applied for decrease in transfusion requirements. Specific search terms were “Thromboelastometry,” “ROTEM,” “Cardiac surgical procedures,” “Trauma,” “wounds and injuries” “Liver transplantation,” “obstetric” “Transfusion,” and “PBM.” we reached to 75 publications for this review after application of our search strategy. The number of publications in the field of obstetric was insufficient for review and conclusion. The available evidence supports the helpfulness of ROTEM test in reducing the need for blood transfusions in surgery or trauma. However, it is need to further investigation to evaluate the benefit and efficacy of ROTEM in other medical conditions such as obstetric hemorrhage. |
| format | Article |
| id | doaj-art-cb18f34d8e8a46aca4f2d2c729590d83 |
| institution | Kabale University |
| issn | 0973-6247 1998-3565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Journal of Transfusion Science |
| spelling | doaj-art-cb18f34d8e8a46aca4f2d2c729590d832025-08-20T04:02:09ZengWolters Kluwer Medknow PublicationsAsian Journal of Transfusion Science0973-62471998-35652025-07-0119113013710.4103/ajts.ajts_18_23Rotational thromboelastometry and patient blood management: A narrative reviewElham Khalaf-AdeliFatemeh TobeyaniLimitation of standard coagulation tests in early detection of coagulopathy leads to empirical decision-making for the management of the coagulopathy, which in many cases is accompanied by improper transfusion. Some studies have investigated the role of rotational thromboelastometry (ROTEM) in reducing the need for blood products in different clinical conditions, which have been associated with different results. Whether ROTEM as a point of care test reduces the need for transfusion in all clinical settings is still a question. A brief introduction of methodology of ROTEM and its role in patient blood management (PBM) approach is explored in this review. Search was performed to find literature describing ROTEM applied for decrease in transfusion requirements. Specific search terms were “Thromboelastometry,” “ROTEM,” “Cardiac surgical procedures,” “Trauma,” “wounds and injuries” “Liver transplantation,” “obstetric” “Transfusion,” and “PBM.” we reached to 75 publications for this review after application of our search strategy. The number of publications in the field of obstetric was insufficient for review and conclusion. The available evidence supports the helpfulness of ROTEM test in reducing the need for blood transfusions in surgery or trauma. However, it is need to further investigation to evaluate the benefit and efficacy of ROTEM in other medical conditions such as obstetric hemorrhage.https://journals.lww.com/10.4103/ajts.ajts_18_23blood transfusioncardiac surgical proceduresliver transplantationrotational thromboelastometrytrauma |
| spellingShingle | Elham Khalaf-Adeli Fatemeh Tobeyani Rotational thromboelastometry and patient blood management: A narrative review Asian Journal of Transfusion Science blood transfusion cardiac surgical procedures liver transplantation rotational thromboelastometry trauma |
| title | Rotational thromboelastometry and patient blood management: A narrative review |
| title_full | Rotational thromboelastometry and patient blood management: A narrative review |
| title_fullStr | Rotational thromboelastometry and patient blood management: A narrative review |
| title_full_unstemmed | Rotational thromboelastometry and patient blood management: A narrative review |
| title_short | Rotational thromboelastometry and patient blood management: A narrative review |
| title_sort | rotational thromboelastometry and patient blood management a narrative review |
| topic | blood transfusion cardiac surgical procedures liver transplantation rotational thromboelastometry trauma |
| url | https://journals.lww.com/10.4103/ajts.ajts_18_23 |
| work_keys_str_mv | AT elhamkhalafadeli rotationalthromboelastometryandpatientbloodmanagementanarrativereview AT fatemehtobeyani rotationalthromboelastometryandpatientbloodmanagementanarrativereview |