Transfusion of allogeneic blood products is associated with increased morbidity and mortality. Therefore, strategies for reducing transfusion of these products during trauma management are valuable. We report a case of severe blunt abdominal trauma, successfully treated with antifibrinolytic medication and fibrinogen concentrate. Rotational thromboelastometry (ROTEM) was used to identify hyperf...

INTRODUCTION: Continuous monitoring of the hemostasis system during postpartum hemorrhage is an essential aspect intensive care. Rotational thromboelastometry (ROTEM) provides rapid and differentiated detection disorders. OBJECTIVE: To evaluate effect implementing rotational on need for blood transfusion in massive practice perinatal centers. MATERIALS AND METHODS: A retrospective cohort multic...

Background: Paediatric cardiac surgery has developed dramatically during the last decades. Today, a wide range of patients is operated on-from premature neonates to grown up children with congenital heart disease. Excessive bleeding during and after cardiac surgery is still common, and it is one of the most serious complications. In this thesis, we consider different aspects of monitoring of co...

Approximately 25-50% of septic patients develop disseminated intravascular coagulation. The thromboelastometry evaluates whole blood clot formation and dissolution in real time and has been considered for management of bleeding in diverse clinical conditions. We present a case of thromboelastometry-guided bleeding management of a septic shock patient with overt disseminated intravascular coagul...