Rotem Guided Bleeding Management

Rotational thromboelastometry (ROTEM) enables the assessment of viscoelastic profiles of whole blood in a variety of clinical settings. ROTEM-guided bleeding management has become an essential part of patient blood management (PBM). ROTEM-guided PBM (Patient Blood Management) has been shown to be effective in reducing bleeding, transfusion requirements, complication rates, and healthcare costs. Several randomized controlled trials and meta-analyses have provided evidence that ROTEM guidance improves perioperative morbidity and mortality in bleeding patients. ROTEM results and the corresponding hemostatic interventions for common bleeding scenarios are discussed.