1 52th Moscow City hospital, Moscow, Russia
2 RUDN University, Moscow, Russia
3 First Moscow Medical University, Moscow, Russia
For correspondence: Andrey Yu. Bulanov — Doctor of Medical Science, Head of consultative transfusiology team of 52th Moscow City hospital, Professor of Department of Anesthesiology and Reanimatology of Russian University of Friendship, Moscow, Russia; e-mail: firstname.lastname@example.org
For citation: Bulanov AYu, Yatsckov KV, Bulanova EL, Dobrova NV. The Thromboelastography: Clinical Significance of Functional Fibrinogen Test. Intensive Care Herald. 2017;1:5–11. DOI: 10.21320/1818-474X-2017-1-5-11
Introduction. The hemostatic system is a frequent subject of interest of critical care. Critical hemostasis has been studied most commonly using thromboelastography. Objectives. Presented study report the experience in the use of special TEG technology fictional fibrinogen test. Material and Methods. As the main working area of FF-test should be marked posthemorrhagic coagulopathy, a situation demanding close attention to the function of the platelets when combined with hyperfibrinogenemia (increase in fibrinogen associated with nonspecific inflammation, gestational hyperofibrinogenemia). Results. A significant difference (more than 2 g/l) between the level of fibrinogen of the plasma is estimated by the method of Claus and FF-test can serve as a marker of dysfibrinogenemia. Conclusion. The clinical importance of the methodology is a predictor of thrombotic and haemorrhagic problems, the diagnostic marker, a reference point for the purpose of transfusion therapy.
Keywords: thromboelastography, functional fibrinogen, bleeding, thrombosis, intensive care
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