Rotation thromboelastometry ROTEM as a new perspective method of the hemostasis system evaluation in patients of the traumatological profile
Nowadays a principal cause of mortality in traumatology is a venous thrombosis, being the main clinical manifestation of a postoperative hypercoagulation. Modern tests for screening the increased coagulability, unfortunately cannot predict the risk of the venous thrombosis. Thromboelastography (TEG) has been established as a sensitive test for the general assessment of hemostasis function. Reagent-supported thromboelastometry with the rotation thromboelastometry (ROTEM) is the evaluation of the visco-elastic properties of a clot during its formation and clot lysis. Numerous researches have shown the correlation between the parameters of thrombelastogram and risk of the postoperative development of the venous thrombosis, and also high correlation between parameters of thrombelastogram and a postoperative hypercoagulative state of patients with trauma. They can be used successfully for the estimation of risk of a postoperative clottage in patients going to orthopedic operations. Also rotatory thromboelastometry allows diagnosing prethrombotic state (hypercoagulative tension) in traumatology and orthopedic patients and thus starting a comprehensive preventive treatment timely.