TRYBU TV

Le comité scientifique du TRYBU vous présente un diaporama commenté concernant l'intérêt du ROTEM (ROtational ThromboElastoMetry) au déchocage.
Cette vidéo vous est proposée par Clémence LIARD, interne en anesthésie-réanimation au CHU de Rennes.

La présentation détaillera le principe de cette technique, son utilisation et de ses preuves dans la prise en charge du patient polytraumatisé au déchocage.

Bibliographie

1. Davenport R, Manson J, DeʼAth H, Platton S, Coates A, Allard S, et al. Functional definition and characterization of acute traumatic coagulopathy. Critical Care Medicine. déc 2011;39(12):2652‑8.
2. Holcomb JB, Minei KM, Scerbo ML, Radwan ZA, Wade CE, Kozar RA, et al. Admission Rapid Thrombelastography Can Replace Conventional Coagulation Tests in the Emergency Department: Experience With 1974 Consecutive Trauma Patients. Annals of Surgery. sept 2012;256(3):476‑86.
3. Baksaas-Aasen K, Van Dieren S, Balvers K, Juffermans NP, Næss PA, Rourke C, et al. Data-driven Development of ROTEM and TEG Algorithms for the Management of Trauma Hemorrhage: A Prospective Observational Multicenter Study. Annals of Surgery. mai 2018;1.
4. Schöchl H, Nienaber U, Hofer G, Voelckel W, Jambor C, Scharbert G, et al. Goal-directed coagulation management of major trauma patients using thromboelastometry (ROTEM®)-guided administration of fibrinogen concentrate and prothrombin complex concentrate. Critical Care. 2010;14(2):R55.
5. Gonzalez E, Moore EE, Moore HB, Chapman MP, Chin TL, Ghasabyan A, et al. Goal-directed Hemostatic Resuscitation of Trauma-induced Coagulopathy: A Pragmatic Randomized Clinical Trial Comparing a Viscoelastic Assay to Conventional Coagulation Assays. Annals of Surgery. juin 2016;263(6):1051‑9.
6. Baksaas-Aasen K, Gall L, Eaglestone S, Rourke C, Juffermans NicoleP, Goslings JC, et al. iTACTIC – implementing Treatment Algorithms for the Correction of Trauma-Induced Coagulopathy: study protocol for a multicentre, randomised controlled trial. Trials. déc 2017;18(1):486.
7. Spahn DR, Bouillon B, Cerny V, Duranteau J, Filipescu D, Hunt BJ, et al. The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition. Crit Care. déc 2019;23(1):98.