Pruebas viscoelásticas en el manejo perioperatorio de pacientes oncológicos

Abstract

Viscoelastic tests in perioperative management have shown utility in various areas related to anesthesiological activity, for example, in patients undergoing heart surgery, trauma patients, in the management of obstetric haemorrhage, in patients undergoing liver surgery and in patients with massive hemorrhage of different causes. Cancer patients have special hemostatic characteristics for whom accurate interpretation of their hemostatic status is sometimes difficult with traditional coagulation tests. Viscoelastic tests can have a significant impact on diagnosis and management of coagulopathy that these patients may suffer in the perioperative period. In the present evidence based review, these techniques are presented to assess the prothrombotic state and the risk of perioperative thromboembolic disease, as well as their usefulness in guiding the replacement of hemostatic products during the perioperative period in cancer patients.