Perioperative Monitoring with Rotational Thromboelastometry in a Severe Hemophilia A Patient Undergoing Elective Ankle Surgery.

This article discusses the use of rotational thromboelastometry (ROTEM) in the perioperative management of a patient with severe hemophilia A undergoing ankle surgery. Hemophilia A is an inherited bleeding disorder caused by a deficiency of clotting factor VIII (FVIII). Standard laboratory tests are limited in predicting bleeding and guiding hemostasis management in patients with clotting factor disorders. ROTEM analysis allows for real-time evaluation of clotting function and monitoring of hemostatic treatment during the perioperative period. The article suggests that systematic monitoring using ROTEM could be a promising strategy for the use of FVIII concentrates in hemophilia A patients during surgery. However, further research is needed to validate this approach. [Extracted from the article]