[Perioperative point-of-care coagulation testing--recently published studies]

Abstract

Point-of-care (POC) devices are increasingly being used at the bedside in perioperative patient management of hemostatic function. Aggregometric methods can be utilized in preoperative screening of thrombocytopathia and are qualified to describe the efficacy of antiplatelet therapy. Published data about the value of point-of-care diagnostic gives partially conflicting results.Current prospective randomized studies indicate that implementation of hemostatic treatment algorithms based on viscoelastic and aggregometric POC-analysis may reduce transfusion rate of allogenic blood products, improve clinical outcome and reduce cost of hemostatic treatment.