Is Rotational Thromboelastometry the Answer for Rapid Prediction of Coagulopathy on Extracorporeal Membrane Oxygenation?

Abstract

Extracorporeal membrane oxygenation (ECMO) induces a variety of changes in hemostatic system due to various reasons such as exposure to the extracorporeal circuit, activation of the coagulation and complement pathways, consumption of platelets, activation of various mediators of inflammation, and imbalance between clot formation and resorption. Giving cryoprecipitate and platelet concentrates is more important than adding whole blood in these patients. EXTEM CT and FIBTEM A5 give results within a few minutes and shortened turnaround time brings imported results.