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Results for “THROMBOELASTOGRAPHY”

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At least 253 records · Page 14Linked to original sources
PubMed1976

[Modification of the thrombocyte function using hormonal contraception. 2. Platelet adhesiveness, thromboelastography, conclusions].

Platelet adhesiviness and thrombelastographic investigations in plasma by 102 women treated with Ovosiston, an anticonceptive agent were observed. A significant increase of adhesiveness and thrombelastographic variations was found. In conclusion showed abnormalities of platelet functions and thrombelastographic values point to influences by oral contraceptive agent Ovosiston. In combination with other favouring factors the risk of thromboembolism must be enhanced.

Blood Coagulation↗
PubMedDate not supplied

[Features of insulin secretion and thromboelastography values in chronic pancreatitis].

The function of pancreatic beta-cells in patients with chronic pancreatitis is insufficient, which manifests by hyposecretion of basal and stimulated insulin into the blood. Moreover, blood-clotting activity is increased in chronic pancreatitis. A conclusion is made that timely prevention of exacerbations of this disease should include laboratory check-ups of insulin production and assessment of blood coagulation in the patients.

Adult↗
PubMed1995

Thromboelastography and cardiopulmonary bypass.

The TEG tracks postoperative hemorrhage after CPB and is useful in guiding therapy. Its ability to characterize the overall interaction of all procoagulant participants in a final outcome (clot strength) is unique. Much work in the future is needed to establish the particular applications for TEG monitoring in CPB patients

Adult↗
PubMed1995

Thromboelastography and liver transplantation.

TEG has played an integral part in the growth of liver transplantation. The group at the University of Pittsburgh early on realized that coagulation dysfunction during liver transplantation would be both severe and dynamic. Each phase of the operation appears to have both predictable and unexpected changes in clot dynamics. The routine coagulation profile, although of great use, does not provide an overview of the interaction of stimulators, inhibitors, and available procoagulants to effect a final process, the production of a solid clot. The TEG is a unique gross test of clot strength perfectly suited to the changes during liver transplantation. The initial pioneering work during liver transplantation has inspired the work of others in related surgical fields to explore its utility. There is little doubt that its full utility has not yet been realized. Many questions still remain with regard to liver transplantation. New medications such as aprotinin will be applied to this procedure over the next few years. What effect these new medications will have on hemorrhage or thrombosis of vascular anastomoses is yet to be adequately explored. A new awareness appears to be arriving that normal or excessively hypercoagulable states could contribute to such thromboses. TEG as a technology will certainly contribute to a number of future studies and clinical care, which will enhance the conduct of liver transplantation in the future.

Blood Loss, Surgical↗
PubMed1976

[Thromboelastography and inhibitors of aggregation].

The effect of maintained treatment with salicylo-acetic acid (1.5 g/day) on the thrombelastogram was examined in the venous blood from 18 accidental patients. In the prevention of thrombembolia, resulting values of the thrombelastograph are not sufficient to show functional changes of platelets. Some of the patients revealed prolonged times for reaction and formation of coagula, thus discreet influencing the thrombelastogram might be supposed.

Adult↗
PubMed1999

Coagulation tests during cardiopulmonary bypass correlate with blood loss in children undergoing cardiac surgery.

OBJECTIVES: To examine whether coagulation tests, sampled before and during cardiopulmonary bypass (CPB), are related to blood loss and blood product transfusion requirements, and to determine what test value(s) provide the best sensitivity and specificity for prediction of excessive hemorrhage. DESIGN: Prospective. SETTING: University-affiliated, pediatric medical center. PARTICIPANTS: Four hundred ninety-four children. INTERVENTIONS: Coagulation tests. MEASUREMENTS AND MAIN RESULTS: Demographic, coagulation test, blood loss, and transfusion data were noted in consecutive children undergoing cardiac surgery. Laboratory tests included hematocrit (Hct), prothrombin time, partial thromboplastin time (PTT), platelet count, fibrinogen concentration, and thromboelastography. Stepwise linear regression analysis indicated that platelet count during CPB was the variable most significantly associated with intraoperative blood loss (in milliliters per kilogram) and 12-hour chest tube output (in milliliters per kilogram). Other independent variables associated with blood loss were thromboelastography maximum amplitude (MA) during CPB, preoperative PTT, preoperative Hct, and preoperative thromboelastography angle and shear modulus values. Thromboelastography MA during CPB was the only variable associated with total products transfused (in milliliters per kilogram). Of all tests studied, platelet count during CPB (< or = 108,000/microL) provided the maximum sensitivity (83%) and specificity (58%) for prediction of excessive blood loss (receiver operating characteristic analysis). Blood loss was inversely related to patient age; neonates received the most donor units (median, 8 units; range, 6 to 10 units). CONCLUSIONS: During cardiac surgery, coagulation tests (including thromboelastography) drawn pre-CPB and during CPB are useful to identify children at risk for excessive bleeding. Platelet count during CPB was the variable most significantly associated with blood loss.

Blood Coagulation Tests↗
PubMed2005

Thromboelastographic and hemostatic characteristics in pediatric patients with sickle cell disease.

CONTEXT: Patients with sickle cell disease suffer from a variety of vaso-occlusive events that may be related to activation of the hemostatic system. Thromboelastography assesses the functionality of this system from a global standpoint and has demonstrated some utility in detecting hypercoagulable states in varied clinical settings, but it has not been systematically evaluated in patients with sickle cell disease. OBJECTIVE: To characterize the findings of thromboelastography in patients with sickle cell disease during periods of steady state and illness, to compare these results with those of healthy controls, and to correlate these profiles with other measured hemostatic parameters. DESIGN: In this cross-sectional study, we obtained thromboelastographic and other hemostatic data on specimens from 46 patients with sickle cell disease (35 with hemoglobin SS, 7 with hemoglobin SC, and 4 with hemoglobin S-beta thalassemia) and 20 healthy race-matched controls. Data were obtained from patients with sickle cell disease at baseline conditions (n = 41) and in the setting of acute illness (n = 5). RESULTS: Patients with hemoglobin SS had lower reaction time and higher angle, maximum amplitude, and coagulation index values on thromboelastography than the control group. Hemoglobin SC patients had higher angle, maximum amplitude, and coagulation index values than controls. Hemoglobin S-beta thalassemia patients showed no significant differences compared with controls. Five hemoglobin SS patients with recent or current illness demonstrated increased maximum amplitude and coagulation index compared with hemoglobin SS patients at baseline conditions. CONCLUSIONS: Patients with sickle cell disease demonstrated a significant hypercoagulable state in thromboelastography profiles, with the degree of abnormality dependent on the type of sickle cell disease and perhaps the presence of acute illness. Continued follow-up of this patient cohort, as well as further study of larger and more homogeneous patient groups, is required to adequately assess the utility of thromboelastography in predicting complications of sickle cell disease.

Adolescent↗