• Women's Health Research
Research Article

Rotational Thromboelastometry as a Tool for Decision Making, Diagnosis, and Management of High-Risk Obstetric Patients in a Tertiary Care Center: A Case Series

Women's Health Research [2021; 3(1):32-37]
Received: 22 June 2021, Accepted: 12 July 2021, Published: 16 July 2021

The use of point of care viscoelastic testing (POCVT) to guide hemorrhage management, decision making, and diagnosis is just starting to be explored. We present a case series exemplifying the use of the Rotational thromboelastometry (ROTEM) to guide blood product management during a postpartum hemorrhage, determine the safety of neuraxial anesthesia, tease out the effects of unfractionated heparin in a patient with abnormal baseline prothrombin time, and aid early detection of a coagulopathy when concerned for an anaphylactoid syndrome of pregnancy. We argue that POCVT monitoring can help anesthesiologists with more than just blood product management on the obstetrical floors.

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