Redefining haemostasis: Role of rotational thromboelastometry in critical care settings

doi:10.5492/wjccm.v14.i2.102521

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Crit Care Med. Jun 9, 2025; 14(2): 102521
Published online Jun 9, 2025. doi: 10.5492/wjccm.v14.i2.102521

Redefining haemostasis: Role of rotational thromboelastometry in critical care settings

Sahil Kataria, Deven Juneja, Omender Singh

Sahil Kataria, Department of Critical Care Medicine, Holy Family Hospital, New Delhi 110025, India

Deven Juneja, Omender Singh, Institute of Critical Care Medicine, Max Super Speciality Hospital, New Delhi 110017, India

Author contributions: Kataria S and Juneja D performed the majority of the writing, and researched the project; Kataria S prepared the figures and tables and performed data accusation; Singh O provided inputs in writing; All three authors reviewed the manuscript.

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Deven Juneja, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket, 1 Press Enclave Road, New Delhi 110017, India. devenjuneja@gmail.com

Received: October 21, 2024
Revised: January 20, 2025
Accepted: February 8, 2025
Published online: June 9, 2025
Processing time: 129 Days and 20 Hours

Core Tip

Core Tip: Point of care viscoelastic tests like rotational thromboelastometry (ROTEM) can provide real-time, dynamic information about clot formation and dissolution and prove to be a valuable tool for assessing coagulation in numerous critical care settings. Unlike traditional coagulation tests, ROTEM can provide whole-blood evaluations which may aid the physicians to quickly identify coagulation issues and administer targeted treatments. With emerging technology and increasing clinical experience, new applications may emerge, and ROTEM may become an integral part of modern haemostatic management.