In India, we are at a stage when the liver transplant is now recognised as a viable modality to treat end-stage liver disease with 1-year survival post-liver transplant of over 80%, which is as good as in any other established programme in the world. We are therefore right in the midst of exciting times that will lead to a rapid increase in liver transplants all over the country as we have all the ingredients for success, that is, the Latest & Advance Technologies which Provide 100% Reliability & Accuracy like Sonoclot which leads team to good reproducible results in the procedure.
Management of coagulopathy in the peri-operative period is another challenge during transplantation as liver is the key organ in the haemostatic pathway. Both coagulation factors and their inhibitors are reduced due to liver failure. The patients are at risk of severe bleeding as well as thrombosis. The aim of coagulation management is to prevent severe coagulopathic bleeding as well as avoiding thrombo-embolic complications. Besides the traditional laboratory parameters - PT, activated partial thromboplastin time, platelet count, fibrinogen levels, it is desirable to do whole blood clotting test preferably as point of care testing. The Latest coagulation tests which provide information on the kinetics of clot formation which is seen with point of care coagulation monitors like Sonoclot . The lack of coagulation factors, platelet function, fibrinolysis as well as hypercoagulable states are best identified in a very short time by the point of care Sonoclot Analyzers.
The Sonoclot Analyzer provides rapid & usefull data for the recognition and the management of Hyperfibrinolysis, A Coagulation Disorder where Simple & reliable laboratory test are not available within sufficiency in short times to satisfy intraoperative clinical needs at early stages but now a days the Technology is ahead for us that is Sonoclot for Us.
The Sonoclot analyser was useful in identifying platelets dysfunction and was more sensitive to detect fibrinolysis. The Sonoclot Analyser is a reliable device for monitoring coagulation during OLT.