Open AccessThromboelastography as a tool for monitoring blood coagulation dysfunction after adequate fluid resuscitation can predict poor outcomes in patients with septic shock
Author(s) -
Hui Zhao,
Xiujun Cai,
Ning Liu,
Zhongheng Zhang
Publication year - 2020
Publication title -
journal of the chinese medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.535
H-Index - 42
eISSN - 1728-7731
pISSN - 1726-4901
DOI - 10.1097/jcma.0000000000000345
Subject(s) - medicine , thromboelastography , partial thromboplastin time , resuscitation , septic shock , sepsis , organ dysfunction , creatinine , anesthesia , mean arterial pressure , disseminated intravascular coagulation , multiple organ dysfunction syndrome , shock (circulatory) , prothrombin time , coagulopathy , blood pressure , platelet , heart rate
Coagulation abnormalities are universal in patients with septic shock and likely play a key role in multiple organ dysfunction syndrome. Early diagnosis and management of sepsis-induced coagulopathy can influence the outcome. Thromboelastography (TEG) can effectively distinguish hypercoagulability and hypocoagulability in patients with septic shock. TEG may be a useful tool to objectively evaluate the degree and risk of sepsis.