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Figure 27-4

Point-of-Care Algorithm for Bleeding Management in Cardiovascular Surgery Guided by Thromboelastometry and Whole-Blood Impedance Aggregometry.!!flowchart!!

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4F-PCC, four-factor prothrombin complex concentrate; A10, amplitude of clot firmness 10 minutes after CT; ACT, activated clotting time; bw, body weight; CT, coagulation time; EX, extrinsic thromboelastometry (EXTEM); FIB, fibrin thromboelastometry (FIBTEM); HEP, heparinase modified thromboelastometry (HEPTEM); IN, intrinsic thromboelastometry (INTEM); ML, maximum lysis; rFVIIa, activated recombinant factor VII.