Hypothermia-Associated Coagulopathy: A Comparison of Viscoelastic Monitoring, Platelet Function, and Real Time Live Confocal Microscopy at Low Blood Temperatures, an

Confocal Microscopy coagulation fibrinogen hypothermia platelet platelet activity viscoelastic testing

Journal

Frontiers in physiology
ISSN: 1664-042X
Titre abrégé: Front Physiol
Pays: Switzerland
ID NLM: 101549006

Informations de publication

Date de publication:
2020
Historique:
received: 17 02 2020
accepted: 23 06 2020
entrez: 9 8 2020
pubmed: 9 8 2020
medline: 9 8 2020
Statut: epublish

Résumé

Hypothermia has notable effects on platelets, platelet function, fibrinogen, and coagulation factors. Common laboratory techniques cannot identify those effects, because blood samples are usually warmed to 37°C before analysis and do not fully reflect the Blood samples were drawn from 18 healthy volunteers and incubated for 30 min before being analyzed at the target temperatures (37, 32, 24, 18, and 13.7°C). At each temperature thromboelastometry and multiple-electrode aggregometry were measured. Real Time Live Confocal Imaging was performed at 4, 24, and 37°C. The images obtained by Real Time Live Confocal Imaging were compared with the functional results of thromboelastometry and multiple-electrode aggregometry. Thromboelastometry standard parameters were impaired at temperatures below baseline 37°C (ANOVA overall effect, The inhibitory effects of temperature on clot formation were visualized with Real Time Live Confocal Microscopy and compared with standard point-of-care testing. Inhibition of clotting factors and impaired platelet function are probably a result of hypothermia-induced impairment of thrombin. Measurement of MCF in TEM does not fully concur with Real Time Live Confocal Microscopy or MEA in hypothermia.

Identifiants

pubmed: 32765300
doi: 10.3389/fphys.2020.00843
pmc: PMC7381250
doi:

Types de publication

Journal Article

Langues

eng

Pagination

843

Informations de copyright

Copyright © 2020 Wallner, Schenk, Hermann, Paal, Falk, Strapazzon, Martini, Brugger and Fries.

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Auteurs

Bernd Wallner (B)

Department of Anaesthesiology and General Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Department of General and Surgical Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.

Bettina Schenk (B)

Department of General and Surgical Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Martin Hermann (M)

Department of General and Surgical Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Peter Paal (P)

Department of Anaesthesiology and Intensive Care Medicine, Hospital of the Brothers of St. John of God, Paracelsus Medical University, Salzburg, Austria.

Markus Falk (M)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.

Giacomo Strapazzon (G)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.

Wenjun Z Martini (WZ)

U.S. Army Institute of Surgical Research, Fort Sam Houston, San Antonio, TX, United States.

Hermann Brugger (H)

Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.

Dietmar Fries (D)

Department of General and Surgical Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.

Classifications MeSH