Cochrane Database of Systematic Reviews
Cochrane review of 17 RCTs showing that TEG/ROTEM-guided transfusion reduces overall blood product use compared to clinical judgment alone. Point-of-care viscoelastic testing enables targeted, individualized hemostatic therapy — a key tool in bloodless medicine programs.
Viscoelastic test-guided transfusion strategies reduced overall blood transfusion requirements and may reduce mortality in bleeding patients, particularly in cardiac surgery.