Tromboelastografía como guía de decisión para terapia transfusional en sangrado postamigdalectomía secundario a pseudoaneurisma

Raffan-Sanabria, Fernando; Amaya, William; Manrique-Peñuela, Fabián
January 2009
Revista Mexicana de Anestesiologia;jan-mar2009, Vol. 32 Issue 1, p67
Academic Journal
We report a case of a patient without significant medical records, who presented massive bleeding in the late post-operative period due to an amygdalectomy that caused hemodynamic instability and coagulation disorders. It was used thromboelastography on the patient as an additional tool in order to evaluate the coagulation state and the approach of a proper and different therapy from the one that had been taken when following the traditional tests (thrombin time [TT], prothrombin time [PT], platelet and fibrinogen count). An adequate hemostasis was achieved. For the definite control of the bleeding, it was practiced an arteriography and a posterior embolization of the left lingual artery with «platinum coils» secondary to the initial surgical procedure.


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