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We have accordingly reviewed the evidence to determine whether there is evidence to support the use of VETs as a standard point of care test on all ICUs in assessing and managing patients. The benefits of using VETs in the management of major haemorrhage, namely faster identification of a coagulopathy, in particular early detection of fibrinolysis, and reduced transfusion requirements for blood products have been seen in the general ICU. Validation of treatments algorithms is now required to standardise practice. There is also emerging evidence to support the use of VETs to guide urgent treatment decisions in patients with a coagulopathy or in patients taking anti-coagulants or anti-platelet therapies. We recommend that departments independently review the feasibility of setting up a viscoelastic point of care service which considers the applicability to their patient cohort, the financial cost and the personnel required.<\/jats:p>","DOI":"10.1177\/17511437241290154","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T21:12:43Z","timestamp":1729113163000},"page":"432-439","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Should viscoelastic testing be a standard point-of-care test on all intensive care units?"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4465-7832","authenticated-orcid":false,"given":"Neha","family":"Natasha Passi","sequence":"first","affiliation":[{"name":"Whipps Cross University Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Parker","sequence":"additional","affiliation":[{"name":"Whipps Cross University Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"bibr1-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh174"},{"key":"bibr2-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.15524"},{"key":"bibr3-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2022.07.003"},{"key":"bibr4-17511437241290154","doi-asserted-by":"publisher","DOI":"10.3310\/hta19580"},{"key":"bibr5-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1515\/cclm-2018-0889"},{"key":"bibr6-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2011.04.020"},{"key":"bibr7-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2016.03.008"},{"key":"bibr8-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1097\/MBC.0000000000000095"},{"key":"bibr9-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2141.1996.5101050.x"},{"key":"bibr10-17511437241290154","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138427"},{"key":"bibr11-17511437241290154","volume":"23","author":"Singh MY.","year":"2019","journal-title":"Indian J Crit Care Med"},{"key":"bibr12-17511437241290154","unstructured":"The Faculty of Intensive Care Medicine. 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