Tracheostomy in intensive care unit patients can be performed without bleeding complications in case of normal thromboelastometry results (EXTEM CT) despite increased PT-INR: a prospective pilot study

摘要: Coagulopathy is often accompanied by prolongation of prothrombin time (PT) in septic and nonseptic patients intensive care unit (ICU). The conventional way to correct the coagulopathy administer fresh frozen plasma (FFP) before invasive procedures minimise risk bleeding. However, prolonged PT can be present even hypercoagulation status, resulting unnecessary administration FFP. In study, we have assessed reliability thromboelastometry case relationship bleeding complications during surgical tracheostomy. study was conducted period between April 2013 2014 undergoing Coagulation status using PT, reassessed for PT. Tracheostomy performed with normal results without administering total 119 patients. Normal value as measured international normalized ratio (INR) ≤ 1.2 found 64 (54 %) patients, while INR > 1.2 55 (46 %) Patients INR ≥ 1.3 (with INR min- 1.3, max- 1.84, median- 1.48) were further analysed thromboelastometry. Despite INR, ranges all cases except one. With thromboelastometry, tracheostomy safely any complication. Surgical (EXTEM CT) despite increased PT-INR. This method help physicians reduce FFP