The use of rotational thromboelastometry to guide management following Bitis nasicornis envenoming

Nye, Charles, Lalloo, David ORCID: https://orcid.org/0000-0001-7680-2200 and Hooper, Timothy (2024) 'The use of rotational thromboelastometry to guide management following Bitis nasicornis envenoming'. BMJ Case Reports, Vol 17, Issue 4, e258319.

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Abstract

A man in his thirties presented following envenoming. His coagulation was assessed using rotational thromboelastometry (ROTEM). It identified a subtle abnormality, not detected using standard laboratory assessments of coagulation, and influenced ongoing management. The abnormality resolved following treatment with antivenom. There are few documented cases of using ROTEM to assess patients following haemotoxic envenoming. This case highlights some of the potential benefits and limitations of doing so.

Item Type:	Article
Subjects:	QW Microbiology and Immunology > Antigens and Antibodies. Toxins and Antitoxins > QW 630 Toxins. Antitoxins WD Disorders of Systemic, Metabolic or Environmental Origin, etc > Animal Poisons > WD 410 Reptiles WH Hemic and Lymphatic Systems > Hematologic Diseases. Immunologic Factors. Blood Banks > WH 322 Blood coagulation disorders (General)
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1136/bcr-2023-258319
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	01 May 2024 10:17
Last Modified:	08 May 2024 14:21
URI:	https://archive.lstmed.ac.uk/id/eprint/24431

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