دورية أكاديمية

Reference values for kaolin-activated thromboelastography in healthy children.

التفاصيل البيبلوغرافية
العنوان: Reference values for kaolin-activated thromboelastography in healthy children.
المؤلفون: Chan KL; Department of Clinical Hematology, Royal Children's Hospital, Melbourne, Australia., Summerhayes RG, Ignjatovic V, Horton SB, Monagle PT
المصدر: Anesthesia and analgesia [Anesth Analg] 2007 Dec; Vol. 105 (6), pp. 1610-3, table of contents.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1310650 Publication Model: Print Cited Medium: Internet ISSN: 1526-7598 (Electronic) Linking ISSN: 00032999 NLM ISO Abbreviation: Anesth Analg Subsets: MEDLINE
أسماء مطبوعة: Publication: 1998- : Baltimore, Md. : Lippincott Williams & Wilkins
Original Publication: Cleveland, International Anesthesia Research Society.
مواضيع طبية MeSH: Kaolin/*pharmacology , Thrombelastography/*drug effects , Thrombelastography/*standards, Adolescent ; Adult ; Blood Coagulation/physiology ; Blood Coagulation Tests/methods ; Blood Coagulation Tests/standards ; Child ; Child, Preschool ; Humans ; Infant ; Middle Aged ; Reference Values ; Thrombelastography/methods
مستخلص: Background: The hemostatic system of children changes with age and differs significantly from the hemostatic system of adults. Age-specific reference values are therefore required for most hemostatic variables. Thromboelastography (TEG) is a point-of-care coagulation test that may provide superior evaluation and management of coagulopathies after cardiac surgery, when large-dose unfractionated heparin is administered for cardiopulmonary bypass. In this study, we established reference values for kaolin-activated TEG in healthy children, to facilitate accurate interpretation of pediatric TEG results.
Methods: Kaolin-activated TEG was performed on 100 healthy children undergoing elective day surgery and 25 healthy adult volunteers. The following TEG variables were recorded: reaction time, coagulation time, alpha angle, maximum amplitude, percentage lysis 30 min after maximum amplitude was reached, and the coagulation index. Differences between age-groups were evaluated using analysis of variance.
Results: Age-specific reference values for kaolin-activated TEG in healthy children between 1 mo and 16 yr of age are presented. No significant differences between children and adults were observed.
Conclusions: TEG results, from a particular clinical setting, must be compared to age-specific, as well as analyzer- and activator-specific, reference values to allow for correct interpretation of the results. Reference values provided here will be of use in acute clinical situations where a practical monitor of hemostasis is required.
المشرفين على المادة: 24H4NWX5CO (Kaolin)
تواريخ الأحداث: Date Created: 20071129 Date Completed: 20071220 Latest Revision: 20220410
رمز التحديث: 20231215
DOI: 10.1213/01.ane.0000287645.26763.be
PMID: 18042858
قاعدة البيانات: MEDLINE
الوصف
تدمد:1526-7598
DOI:10.1213/01.ane.0000287645.26763.be