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  • Context Hypothermia is known to influence thromboelastography (TEG). TEG reproducibility is generally low. Objective The aim of this study was to evaluate the rationale of TEG temperature adjustment in patients during hypothermia. We hypothesised that temperature adjustment would not be important because of low TEG reproducibility. Design Prospective observational study. Setting Single-centre, secondary care study performed 01/2009 to 07/2010. Patients Survivors of cardiopulmonary resuscitation in whom therapeutic hypothermia (32 to 34 degrees C) was indicated for 24 h were recruited to the study which lasted 36 h. Four hundred samples from 30 patients (22 men and eight women) were obtained. No specific exclusion criteria were defined. Main outcome measures Temperature adjusted and non-adjusted Kaolin-Heparinase and Rapid-TEG were done at 12-h intervals during the first 36 h. Results Bland-Altman plots were used for analysis. During hypothermia, the bias of adjusted measurements was greater in clot formation variables for both Kaolin-Heparinase-TEG (from -15 to -19%) and Rapid-TEG (-9 to -25%) compared to normothermia (from -3 to 3% for Kaolin-Heparinase-TEG and -10 to 2% for Rapid-TEG). Bias of clot strength variables was not influenced by temperature adjustment (median -1%). The 95% limits of agreement were wide for clot formation variables and independent of temperature.
  • Context Hypothermia is known to influence thromboelastography (TEG). TEG reproducibility is generally low. Objective The aim of this study was to evaluate the rationale of TEG temperature adjustment in patients during hypothermia. We hypothesised that temperature adjustment would not be important because of low TEG reproducibility. Design Prospective observational study. Setting Single-centre, secondary care study performed 01/2009 to 07/2010. Patients Survivors of cardiopulmonary resuscitation in whom therapeutic hypothermia (32 to 34 degrees C) was indicated for 24 h were recruited to the study which lasted 36 h. Four hundred samples from 30 patients (22 men and eight women) were obtained. No specific exclusion criteria were defined. Main outcome measures Temperature adjusted and non-adjusted Kaolin-Heparinase and Rapid-TEG were done at 12-h intervals during the first 36 h. Results Bland-Altman plots were used for analysis. During hypothermia, the bias of adjusted measurements was greater in clot formation variables for both Kaolin-Heparinase-TEG (from -15 to -19%) and Rapid-TEG (-9 to -25%) compared to normothermia (from -3 to 3% for Kaolin-Heparinase-TEG and -10 to 2% for Rapid-TEG). Bias of clot strength variables was not influenced by temperature adjustment (median -1%). The 95% limits of agreement were wide for clot formation variables and independent of temperature. (en)
Title
  • Temperature corrected thromboelastography in hypothermia. Is it necessary?
  • Temperature corrected thromboelastography in hypothermia. Is it necessary? (en)
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  • Temperature corrected thromboelastography in hypothermia. Is it necessary?
  • Temperature corrected thromboelastography in hypothermia. Is it necessary? (en)
skos:notation
  • RIV/00159816:_____/13:00060681!RIV14-MZ0-00159816
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
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  • I, P(NS10097)
http://linked.open...iv/cisloPeriodika
  • 2
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  • 110248
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  • RIV/00159816:_____/13:00060681
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  • thromboelastography; hypothermia; cardiopulmonary resuscitation (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [520090EDEDCB]
http://linked.open...i/riv/nazevZdroje
  • European journal of anaesthesiology
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http://linked.open...vavai/riv/projekt
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  • 30
http://linked.open...iv/tvurceVysledku
  • Zvoníček, Václav
  • Suk, Pavel
  • Čundrle, Ivan
  • Šrámek, Vladimír
  • Pavlik, Martin
  • Radouskova, Iveta
http://linked.open...ain/vavai/riv/wos
  • 000313497200008
issn
  • 0265-0215
number of pages
http://bibframe.org/vocab/doi
  • 10.1097/EJA.0b013e32835c3716
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