Adam Elisabeth H, Meybohm Patrick, Zacharowski Kai, Weber Christian F
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie des Universitätsklinikums Frankfurt.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 May;48(5):346-50. doi: 10.1055/s-0033-1347159. Epub 2013 Jun 11.
Point-of-care (POC) devices are increasingly being used at the bedside in perioperative patient management of hemostatic function. Aggregometric methods can be utilized in preoperative screening of thrombocytopathia and are qualified to describe the efficacy of antiplatelet therapy. Published data about the value of point-of-care diagnostic gives partially conflicting results.Current prospective randomized studies indicate that implementation of hemostatic treatment algorithms based on viscoelastic and aggregometric POC-analysis may reduce transfusion rate of allogenic blood products, improve clinical outcome and reduce cost of hemostatic treatment.
即时检验(POC)设备在围手术期患者止血功能管理中越来越多地用于床边。凝集测定法可用于血小板病的术前筛查,并可用于描述抗血小板治疗的疗效。关于即时检验诊断价值的已发表数据给出了部分相互矛盾的结果。目前的前瞻性随机研究表明,基于粘弹性和凝集测定法即时检验分析实施止血治疗算法可能会降低异体血制品的输血率,改善临床结局并降低止血治疗成本。