Einfach und praktisch: Gerinnungsmanagement beim Trauma ohne viskoelastische Testverfahren

Simple and practical: coagulation management following trauma without viscoelastic testing

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Literatur

  1. 1.

    Brohi K, Cohen MJ, Ganter MT et al (2007) Acute traumatic coagulopathy: initiated by hypoperfusion: modulated through the protein C pathway? Ann Surg 245:812–818

    Article  Google Scholar 

  2. 2.

    Dobson GP, Morris JL, Davenport LM et al (2020) Traumatic-induced coagulopathy as a systems failure: a new window into Hemostasis. Semin Thromb Hemost 46:199–214

    Article  Google Scholar 

  3. 3.

    Gruen RL, Jurkovich GJ, Mcintyre LK et al (2006) Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Ann Surg 244:371–380

    Article  Google Scholar 

  4. 4.

    Haas T, Spielmann N, Mauch J et al (2012) Comparison of thromboelastometry (ROTEM(R)) with standard plasmatic coagulation testing in paediatric surgery. Br J Anaesth 108:36–41

    CAS  Article  Google Scholar 

  5. 5.

    Hilbert-Carius P, Hauer T, Josse F et al (2020) REBOA—resuscitative endovascular balloon occlusion of the aorta. Notarzt 36:33–45

    Article  Google Scholar 

  6. 6.

    Hilbert-Carius P, Hofmann G, Stuttmann R (2015) Hemoglobin-oriented and coagulation factor-based algorithm : effect on transfusion needs and standardized mortality rate in massively transfused trauma patients. Anaesthesist 64:828–838

    CAS  Article  Google Scholar 

  7. 7.

    Hilbert-Carius P, Hofmann GO, Lefering R et al (2016) Clinical presentation and blood gas analysis of multiple trauma patients for prediction of standard coagulation parameters at emergency department arrival. Anaesthesist 65:274–280

    CAS  Article  Google Scholar 

  8. 8.

    Hilbert-Carius P, Hofmann GO, Stuttmann R et al (2018) Point-of-care-Gerinnungsdiagnostik beim Schwerverletzten. Notfall Rettungsmed 21:357–366

    Article  Google Scholar 

  9. 9.

    Hilbert-Carius P, Wurmb T, Lier H et al (2017) Care for severely injured persons : update of the 2016 S3 guideline for the treatment of polytrauma and the severely injured. Anaesthesist 66:195–206

    CAS  Article  Google Scholar 

  10. 10.

    Hilbert-Carius P, Wurmb T, Lier H et al (2018) Empfehlungen der S3-Leitlinie Polytrauma/Schwerverletztenbehandlung 2016 für die Präklinik. Notfall Rettungsmed 21:4–13

    Article  Google Scholar 

  11. 11.

    Hilbert P, Hofmann GO, Lefering R et al (2015) Trauma bay haemoglobin level. Predictor of coagulation disorder in major trauma. Unfallchirurg 118:601–606

    CAS  Article  Google Scholar 

  12. 12.

    Hilbert P, Hofmann GO, Zur NK et al (2012) Coagulation management of trauma patients with unstabile circulation. Establishment of a hemoglobin-oriented standard operating procedure. Anaesthesist. https://doi.org/10.1007/s00101-012-2064-7

    Article  PubMed  Google Scholar 

  13. 13.

    Hofer V, Wrigge H, Wienke A et al (2019) Platelet function disorder in trauma patients, an underestimated problem? Results of a single center study. Anaesthesist 68:368–376

    CAS  Article  Google Scholar 

  14. 14.

    Hussmann B, Lefering R, Taeger G et al (2011) Influence of prehospital fluid resuscitation on patients with multiple injuries in hemorrhagic shock in patients from the DGU trauma registry. J Emerg Trauma Shock 4:465–471

    Google Scholar 

  15. 15.

    Lier H, Bernhard M, Hilbert-Carius P (2018) Das Gerinnungssystem in der S3-Leitlinie Polytrauma/Schwerverletzten-Behandlung 2016. Notfall Rettungsmed 21:14–21

    Article  Google Scholar 

  16. 16.

    Maegele M, Lefering R, Yucel N et al (2007) Early coagulopathy in multiple injury: an analysis from the German Trauma Registry on 8724 patients. Injury 38:298–304

    Article  Google Scholar 

  17. 17.

    Pape HC, Lefering R, Butcher N et al (2014) The definition of polytrauma revisited: an international consensus process and proposal of the new ‘Berlin definition’. J Trauma Acute Care Surg 77:780–786

    Article  Google Scholar 

  18. 18.

    Polytrauma Guideline Update G (2018) Level 3 guideline on the treatment of patients with severe/multiple injuries : AWMF Register-Nr. 012/019. Eur J Trauma Emerg Surg 44:3–271

    Article  Google Scholar 

  19. 19.

    Spahn DR, Bouillon B, Cerny V et al (2019) The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition. Crit Care 23:98

    Article  Google Scholar 

  20. 20.

    Teixeira PG, Inaba K, Hadjizacharia P et al (2007) Preventable or potentially preventable mortality at a mature trauma center. J Trauma 63:1338–1346 (discussion 1346–1337)

    PubMed  Google Scholar 

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Alle Autoren haben zu gleichen Teilen am Beitrag mitgewirkt.

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Correspondence to P. Hilbert-Carius DEAA.

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P. Hilbert-Carius, H. Wrigge und R. Koch geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Serienpaten

F. Flake, Oldenburg

P. Gotthardt, Nürnberg

D. Häske, Reutlingen

B. Hossfeld, Ulm

J. Knapp, Bern

H. Trentzsch, München

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Hilbert-Carius, P., Wrigge, H. & Koch, R. Einfach und praktisch: Gerinnungsmanagement beim Trauma ohne viskoelastische Testverfahren. Notfall Rettungsmed 24, 242–247 (2021). https://doi.org/10.1007/s10049-020-00795-4

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