ROTEM versus conventional coagulation tests in evaluating coagulopathy and transfusion requirement in ECMO patients: A retrospective study

Kevin E Shopsowitz, Robert Guo, Geoffrey Chan, Jian Mi, Tyler Smith, Kristine Roland, Jacqueline Trudeau, Gordon Finlayson, Hussein D Kanji, Sakara Hutspardol, Department of Pathology and Laboratory Medicine, University of British Columbia, Department of Pathology and Laboratory Medicine, Vancouver Coastal Health Authority, Division of Hematopathology, Eastern Ontario Regional Laboratory Association, The Ottawa Hospital, Centre for Blood Research, University of British Columbia, Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Division of Critical Care Medicine, Department of Medicine, University of British Columbia

Perfusion

Published online on June 25, 2026

Abstract

Perfusion, Ahead of Print.
IntroductionCritically ill ECMO patients face high bleeding risks from anticoagulation and other factors. Although viscoelastic tests, like ROTEM, are widely used to assess hemostasis, evidence for their superiority over conventional coagulation tests (...