Visual Clot and ROTEM Temograms
bleeding, hyperfibrinolysis
BLEEDING, CLOT
The anesthesia team received the Visual Clot animation or standard ROTEM temograms to guide coagulation management (Visual Clot. (A) A normal Visual Clot with no coagulation pathologies. The legend describes the individual icons. If fibrin, platelets, or plasmatic factors are missing, they are shown as dashed lines. In the case of hyperfibrinolysis, the harvester disrupts the fibrin scaffold, and a heparin effect is indicated by the corresponding icon. The bleeding effect occurs if anything is abnormal. (B) ROTEM temograms of EXTEM (tests the extrinsic pathway), INTEM (tests the intrinsic pathway), FIBTEM (tests the fibrinogen function), and HEPTEM (tests the heparin effect) channels. Due to a residual effect of heparin, the clotting time is prolonged in INTEM but normal in HEPTEM. (C) Visual Clot showing a residual effect of heparin.