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一种用于重症监护环境中评估止血功能的新型设备。

A Novel Device for the Evaluation of Hemostatic Function in Critical Care Settings.

作者信息

Ferrante Elisa A, Blasier Kiev R, Givens Thomas B, Lloyd Cynthia A, Fischer Timothy J, Viola Francesco

机构信息

From *HemoSonics LLC, Charlottesville, Virginia; and †University of Virginia, Charlottesville, Virginia.

出版信息

Anesth Analg. 2016 Dec;123(6):1372-1379. doi: 10.1213/ANE.0000000000001413.

Abstract

Major surgical procedures often result in significant intra- and postoperative bleeding. The ability to identify the cause of the bleeding has the potential to reduce the transfusion of blood products and improve patient care. We present a novel device, the Quantra Hemostasis Analyzer, which has been designed for automated, rapid, near-patient monitoring of hemostasis. The Quantra is based on Sonic Estimation of Elasticity via Resonance Sonorheometry, a proprietary technology that uses ultrasound to measure clot time and clot stiffness from changes in viscoelastic properties of whole blood during coagulation. We present results of internal validation and analytical performance testing of the technology and demonstrate the ability to characterize the key functional components of hemostasis.

摘要

大型外科手术常常导致显著的术中及术后出血。识别出血原因的能力有可能减少血制品的输注并改善患者护理。我们展示了一种新型设备——Quantra止血分析仪,它被设计用于对止血进行自动化、快速、床旁监测。Quantra基于通过共振声流变学进行弹性的声波估计,这是一项专有技术,利用超声根据凝血过程中全血粘弹性特性的变化来测量凝血时间和血凝块硬度。我们展示了该技术的内部验证和分析性能测试结果,并证明了其表征止血关键功能成分的能力。

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