In the guidelines session, a review of recent @BritSocHaem guidelines #BSH2019
@nicola_curry first on the use of viscoelastic testing #BSH2019
TEG, ROTEM and Sonoclot all currently available and all use similar methodology based on whole blood testing #BSH2019
Most TEG/ROTEM are introduced by non haematologists. How much should we be involved and in what capacity? #BSH2019
Data show poor precision of the test with high interoperator variability. Cartridge based tests tend to be more precise #BSH2019
What are the normal ranges? Different patient groups have different normal ranges, with pregnancy being an excellent example #BSH2019
Most use is in bleeding patients. Time taken for VETs to produce results equivalent to a lab clotting profile are 30-70 minutes. Labs should be able to produce results more quickly #BSH2019
Hypofibringonaemia on VET predicts for massive transfusion in PPH #BSH2019
There is evidence that VETs reduce transfusion in liver surgery and trauma
BUT *don't* use a normal TEG to omit TXA warns Dr Curry #BSH2019
Even in areas where there are data to support use of VETs, there are no data to influence which algorithms are used #BSH2019
Full BSH guideline on VETs is here onlinelibrary.wiley.com/doi/full/10.11…
#BSH2019
NICE currently only recommend VET for cardiac surgery. Review of the evidence here bjanaesthesia.org/article/S0007-…
For other uses, reduction in blood use can be used to justify investment
#BSH2019
Share this Scrolly Tale with your friends.
A Scrolly Tale is a new way to read Twitter threads with a more visually immersive experience.
Discover more beautiful Scrolly Tales like this.