ANALYSIS OF TRANSFUSION REQUIREMENTS AND COSTS BEFORE AND AFTER THE INTRODUCTION OF THROMBOELASTOMETRY GUIDED FACTOR CONCENTRATE BASED ALGORITHM FOR THE THERAPY OF COAGULOPATHY IN MASSIVE BLEEDING

Our ICU is a general mixed ICU with 9 beds in a trauma centre. We admit over 300 patients/year. We have started using thromboelastometry (ROTEM) in 2009. Thromboelastometry is used to guide the therapy of massive bleeding and therapy of coagulopathy in ICU patients. The usage of thromboelastometry has been increasing since 2009 and in January 2014 we have implemented POC thromboelastometry guided factor concentrate based coagulation algorithm for the treatment of coagulopathy in massive bleeding [ 1 ].