Publications by authors named "Ross P Smith"
Viscoelastic hemostatic assays (VHAs) have become a valuable tool in guiding transfusion therapy, particularly in trauma care. While various forms of VHA exist, all provide a quantitative assessment of clot kinetics, strength, and dissolution. Studies have demonstrated that VHA can reduce both mortality and utilization of blood products in the general population.
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- - The study examined how coagulation parameters, measured through TEG (thromboelastography), relate to the risk of late-resolving multiple organ failure (LRMOF) in patients at high risk for post-injury complications.
- - Out of 742 patients analyzed, while those with normal TEG values had lower rates of LRMOF compared to those with coagulation issues, multivariable analysis showed no significant link between coagulation profiles and LRMOF risk.
- - The findings suggest that, contrary to initial assumptions, coagulation status may not be a significant factor in predicting the development of LRMOF in these patients.
We conducted a study to compare the cost, efficacy, and safety of intravenous (IV) tranexamic acid (TXA) and topical TXA in primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). We retrospectively reviewed the cases of 291 patients who received either IV TXA or topical TXA before and after surgery. Significant differences favored topical TXA in reducing the postoperative decrease in hemoglobin levels in THA (P = .
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