Rotational thromboelastometry versus conventional tests in decompensated cirrhotic children undergoing invasive procedures

This study aimed to assess the efficacy and safety of a ROTEM-guided transfusion strategy compared to conventional methods in children with decompensated cirrhosis undergoing invasive procedures. The results indicated that while ROTEM guidance significantly reduced the proportion of patients receiving any blood component transfusion, it did not lower the total volume of blood products used and was not cost-effective. Overall, the findings suggest that ROTEM may help minimize transfusion exposure without compromising safety, but its economic viability remains questionable.