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Background Excessive bleeding after cardiopulmonary bypass (CPB) is risk factor for adverse outcomes after elective cardiac surgery (ECS). Differentiation between patients who bleed due to surgical issues and those whose excessive chest tube output (CTO) is due to hemostatic disorder remains challenging. Study aim was to evaluate prediction of excessive bleeding after ECS using fibrin-based clot firmness parameter of rotational thromboelastometry (FIBTEM test).

journal of cardiothoracic surgery

Fibrin-based clot firmness as assessed by rotational thromboelastometry is predictor of total amount of chest tube output in patients following elective cardiac surgery