New device, old algorithm? Bridging generations in perioperative coagulation management

Andrew R Milewski; Marguerite M Hoyler; Thorsten Haas; Melissa M Cushing

doi:10.1016/j.bja.2024.12.005

New device, old algorithm? Bridging generations in perioperative coagulation management

Br J Anaesth. 2025 Jan 9:S0007-0912(24)00726-8. doi: 10.1016/j.bja.2024.12.005. Online ahead of print.

Authors

Andrew R Milewski¹, Marguerite M Hoyler¹, Thorsten Haas², Melissa M Cushing³

Affiliations

¹ Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
² Department of Anesthesiology, University of Florida Health, Gainesville, FL, USA.
³ Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA; Department of Pathology, Weill Cornell Medicine, New York, NY, USA. Electronic address: [email protected].

PMID: 39794229
DOI: 10.1016/j.bja.2024.12.005

Abstract

Viscoelastic testing permits targeted correction of coagulopathy in bleeding patients. As new generations of viscoelastic testing platforms become available, research exploring similarities and differences with older devices can provide insight for institutions seeking to use the newer technologies. Care must be taken to ensure such studies are designed to produce clinically meaningful guidance for adapting existing treatment algorithms to accommodate the latest viscoelastic testing technology.

Keywords: ROTEM; anaesthesia; bleeding; cardiac surgery; coagulopathy; viscoelastic testing.

Publication types

Editorial