Isolated traumatic brain injury as a cause of early coagulopathy – Case Report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25751/rspa.9873 |
Resumo: | Trauma induced coagulopathy has been reported in cases of isolated traumatic brain injury. We report a case where thromboelastometry (ROTEM®) was the only warning sign of the ensuing coagulopathy. A 77 years-old female, fell down multiple stairs. Assisted on scene, she was intubated and transported to the emergency department. Head computed tomography showed an acute subdural hematoma. No other trauma injury or signs of active bleeding were identified on admission, but a blood sample for ROTEM® was collected. During craniotomy she developed hemodynamic instability, as well as signs of coagulopathy. First ROTEM® showed absence of clot formation and transfusion therapy was started. There was clinical improvement, and a post-transfusion ROTEM® showed improved clot formation. Admitted to the Intensive Care Unit, the patient died 24 hours after the initial neurologic injury. Early identification of coagulopathy associated with trauma is crucial, which can contribute to an improved outcome. |
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Isolated traumatic brain injury as a cause of early coagulopathy – Case ReportCaso ClínicoTrauma induced coagulopathy has been reported in cases of isolated traumatic brain injury. We report a case where thromboelastometry (ROTEM®) was the only warning sign of the ensuing coagulopathy. A 77 years-old female, fell down multiple stairs. Assisted on scene, she was intubated and transported to the emergency department. Head computed tomography showed an acute subdural hematoma. No other trauma injury or signs of active bleeding were identified on admission, but a blood sample for ROTEM® was collected. During craniotomy she developed hemodynamic instability, as well as signs of coagulopathy. First ROTEM® showed absence of clot formation and transfusion therapy was started. There was clinical improvement, and a post-transfusion ROTEM® showed improved clot formation. Admitted to the Intensive Care Unit, the patient died 24 hours after the initial neurologic injury. Early identification of coagulopathy associated with trauma is crucial, which can contribute to an improved outcome. Sociedade Portuguesa de Anestesiologia2018-02-10T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.9873eng0871-6099Pires, Rafael Marquesinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:43Zoai:ojs.revistas.rcaap.pt:article/9873Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:11.676417Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report |
title |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report |
spellingShingle |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report Pires, Rafael Marques Caso Clínico |
title_short |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report |
title_full |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report |
title_fullStr |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report |
title_full_unstemmed |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report |
title_sort |
Isolated traumatic brain injury as a cause of early coagulopathy – Case Report |
author |
Pires, Rafael Marques |
author_facet |
Pires, Rafael Marques |
author_role |
author |
dc.contributor.author.fl_str_mv |
Pires, Rafael Marques |
dc.subject.por.fl_str_mv |
Caso Clínico |
topic |
Caso Clínico |
description |
Trauma induced coagulopathy has been reported in cases of isolated traumatic brain injury. We report a case where thromboelastometry (ROTEM®) was the only warning sign of the ensuing coagulopathy. A 77 years-old female, fell down multiple stairs. Assisted on scene, she was intubated and transported to the emergency department. Head computed tomography showed an acute subdural hematoma. No other trauma injury or signs of active bleeding were identified on admission, but a blood sample for ROTEM® was collected. During craniotomy she developed hemodynamic instability, as well as signs of coagulopathy. First ROTEM® showed absence of clot formation and transfusion therapy was started. There was clinical improvement, and a post-transfusion ROTEM® showed improved clot formation. Admitted to the Intensive Care Unit, the patient died 24 hours after the initial neurologic injury. Early identification of coagulopathy associated with trauma is crucial, which can contribute to an improved outcome. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-02-10T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25751/rspa.9873 |
url |
https://doi.org/10.25751/rspa.9873 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0871-6099 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130505199747072 |