{"id":12619,"date":"2020-12-10T04:07:52","date_gmt":"2020-12-10T03:07:52","guid":{"rendered":"http:\/\/news-papers.eu\/?p=12619"},"modified":"2020-12-05T20:27:34","modified_gmt":"2020-12-05T19:27:34","slug":"flintic-fibrinogen-concentrate-in-trauma-patients-presumed-to-bleed","status":"publish","type":"post","link":"http:\/\/news-papers.eu\/?p=12619","title":{"rendered":"FlinTIC: &#8222;Fibrinogen Concentrate in trauma patients, presumed to bleed&#8220;"},"content":{"rendered":"<p><strong><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"12621\" data-permalink=\"http:\/\/news-papers.eu\/?attachment_id=12621\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/12\/20201205_202414-scaled-e1607196409309.jpg?fit=1000%2C1968\" data-orig-size=\"1000,1968\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.7&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;SM-G950F&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1563805808&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;4.2&quot;,&quot;iso&quot;:&quot;50&quot;,&quot;shutter_speed&quot;:&quot;0.01&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"20201205_202414\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/12\/20201205_202414-scaled-e1607196409309.jpg?fit=152%2C300\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/12\/20201205_202414-scaled-e1607196409309.jpg?fit=520%2C1024\" class=\"size-medium wp-image-12621 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/12\/20201205_202414.jpg?resize=152%2C300\" alt=\"\" width=\"152\" height=\"300\" \/>Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz:<\/strong><\/p>\n<p style=\"text-align: justify;\">Am 28. Oktober 2020 wurden die lange erwarteten Ergebnisse der FlinTIC-Studie zum Nutzen der pr\u00e4hospitalen Gabe von Fibrinogen-Konzentrat beim schwerverletzten Patienten ver\u00f6ffentlicht.<\/p>\n<blockquote><p><strong>Ziegler B et al. Efficacy of prehospital administration of fibrinogen concentrate in trauma patients bleeding or presumed to bleed (FIinTIC). Eur J Anaesthesiol 2020; 37:1-10. DOI: <\/strong><strong>10.1097\/EJA.0000000000001366 (<a href=\"https:\/\/journals.lww.com\/ejanaesthesiology\/Abstract\/9000\/Efficacy_of_prehospital_administration_of.98299.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">PDF<\/a>)<\/strong><\/p><\/blockquote>\n<p>Die Studie kann unter folgendem Link \u201eopen access\u201c abgerufen werden:<\/p>\n<p><a href=\"https:\/\/journals.lww.com\/ejanaesthesiology\/Abstract\/9000\/Efficacy_of_prehospital_administration_of.98299.aspx\">https:\/\/journals.lww.com\/ejanaesthesiology\/Abstract\/9000\/Efficacy_of_prehospital_administration_of.98299.aspx<\/a><\/p>\n<p style=\"text-align: justify;\">Die Studie zeigt, dass die pr\u00e4hospitale Gabe von Fibrinogen-Konzentrat problemlos durchf\u00fchrbar ist, und die Patienten mit deutlich h\u00f6heren Fibrinogen-Plasmaspiegeln und einer besseren Stabilit\u00e4t des Clots in der Rotationsthrombelastografie im Schockraum ankommen. Ob sich dadurch der Transfusionsbedarf der Patienten reduzieren l\u00e4sst oder die Sterblichkeit der Patienten reduzieren l\u00e4sst, muss eine weitere gr\u00f6\u00dfer angelegte Studie zeigen. Die ersten Ergebnisse f\u00fcr den pr\u00e4hospitalen Einsatz allerdings erscheinen vielversprechend.<\/p>\n<p><strong>FlinTIC-Studie<\/strong> steht f\u00fcr &#8222;Fibrinogen Concentrate in trauma patients, presumed to bleed&#8220;.<\/p>\n<p><strong>Studienregistrierung: <\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.clinicaltrialsregister.eu\/ctr-search\/trial\/2010-022923-31\/AT\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>EudraCT: 2010-022923-31 <\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.clinicaltrials.gov\/ct2\/show\/NCT01475344\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>ClinicalTrials.gov: NCT01475344<\/strong><\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz: Am 28. Oktober 2020 wurden die lange erwarteten Ergebnisse der FlinTIC-Studie zum Nutzen der pr\u00e4hospitalen Gabe von Fibrinogen-Konzentrat beim schwerverletzten Patienten ver\u00f6ffentlicht. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":12621,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1210],"tags":[1967],"class_list":["post-12619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blutungsmanagement","tag-fibrinogen"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2020\/12\/20201205_202414-scaled-e1607196409309.jpg?fit=1000%2C1968","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3hx","jetpack-related-posts":[{"id":19240,"url":"http:\/\/news-papers.eu\/?p=19240","url_meta":{"origin":12619,"position":0},"title":"Vorteil einer fr\u00fchen Fibrinogengabe weiterhin unklar","author":"Bj\u00f6rn Hossfeld","date":"Februar 17, 2025","format":false,"excerpt":"Ein Gastbeitrag von Sarah Hermann, Ulm\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Jedes Jahr sterben weltweit vier Millionen Menschen infolge eines Traumas, wobei eine Blutung die h\u00e4ufigste potenziell behandelbare Todesursache darstellt. Das Risiko, an einer solchen Blutung zu sterben, steigt erheblich, wenn zus\u00e4tzlich eine traumatisch induzierte Koagulopathie \u00a0(TIC - trauma induced coagulopathy) mit Versagen der\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/02\/Fibrinogen-scaled.jpg?fit=1200%2C900&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/02\/Fibrinogen-scaled.jpg?fit=1200%2C900&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/02\/Fibrinogen-scaled.jpg?fit=1200%2C900&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/02\/Fibrinogen-scaled.jpg?fit=1200%2C900&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2025\/02\/Fibrinogen-scaled.jpg?fit=1200%2C900&resize=1050%2C600 3x"},"classes":[]},{"id":16804,"url":"http:\/\/news-papers.eu\/?p=16804","url_meta":{"origin":12619,"position":1},"title":"PPSB beim Trauma? &#8211; Teil 2","author":"Bj\u00f6rn Hossfeld","date":"M\u00e4rz 31, 2023","format":false,"excerpt":"Gastbeitrag von Heiko Lier aus K\u00f6ln, Teil 2 \u00a0 \u00a0 \u00a0 W\u00e4hrend die Aufhebung der Wirkung von Vit.K-Antagonisten und DOAK eine seit langem (zumindest in Europa) anerkannte Indikation darstellt [4, 12, 14], ist die Gabe von Prothrombinkomplex(PPSB)-Pr\u00e4paraten bei massiv-blutenden Schwerverletzten mit einer trauma-induzierten Koagulopathie (TIK) wissenschaftlich schlechter begr\u00fcndet. Im gestrigen\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=700%2C400 2x"},"classes":[]},{"id":16803,"url":"http:\/\/news-papers.eu\/?p=16803","url_meta":{"origin":12619,"position":2},"title":"PPSB beim Trauma? &#8211; Teil 1","author":"Bj\u00f6rn Hossfeld","date":"M\u00e4rz 30, 2023","format":false,"excerpt":"Gastbeitrag von Heiko Lier aus K\u00f6ln, Teil 1 W\u00e4hrend die Aufhebung der Wirkung von Vit.K-Antagonisten und DOAK eine seit langem (zumindest in Europa) anerkannte Indikation darstellt [4, 12, 14], ist die Gabe von Prothrombinkomplex (PPSB)-Pr\u00e4paraten bei massiv-blutenden Schwerverletzten mit einer trauma-induzierten Koagulopathie (TIK) wissenschaftlich schlechter begr\u00fcndet. Zwei, in diesem Jahr\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2023\/03\/PPSB.png?fit=739%2C1200&resize=700%2C400 2x"},"classes":[]},{"id":9680,"url":"http:\/\/news-papers.eu\/?p=9680","url_meta":{"origin":12619,"position":3},"title":"PPSB zur Gerinnungstherapie nach Trauma?","author":"Michael Bernhard","date":"Juni 14, 2019","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Bern\/Schweiz: Die Frage, ob zur Gerinnungstherapie beim koagulopathischen Traumapatienten die Gabe von Fibrinogen-Konzentrat oder Frischplasma (FFP) besser geeignet ist, ist sp\u00e4testens seit der RETIC-Studie relativ klar beantwortet. Innerhofer P et al. Reversal of trauma-induced coagulopathy using first-line coagulation factor concentrates or fresh frozen\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"Blutstillung","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=700%2C400 2x"},"classes":[]},{"id":19885,"url":"http:\/\/news-papers.eu\/?p=19885","url_meta":{"origin":12619,"position":4},"title":"Pr\u00e4hospitale Bluttransfusion als \u00dcberbr\u00fcckung bis zur definitiven Blutungskontrolle im Krankenhaus","author":"Bj\u00f6rn Hossfeld","date":"September 7, 2025","format":false,"excerpt":"Ein Gastbeitrag von Sebastian Weber, Ulm\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Verbluten ist eine der f\u00fchrenden vermeidbaren Todesursachen nach Trauma. Externe Blutungen k\u00f6nnen in der pr\u00e4hospitalen Versorgung gut durch manuelle Kompression oder Anwendung des Tourniquets gestoppt werden. Im Gegensatz dazu k\u00f6nnen innere Blutungen, sog. non-compressible torso hemorrhage (NCTH), pr\u00e4hospital schlecht\u2026","rel":"","context":"In &quot;Blutungsmanagement&quot;","block_context":{"text":"Blutungsmanagement","link":"http:\/\/news-papers.eu\/?cat=1210"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2024\/05\/Blut-praehospital-e1756907763864.jpg?fit=1200%2C826&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2024\/05\/Blut-praehospital-e1756907763864.jpg?fit=1200%2C826&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2024\/05\/Blut-praehospital-e1756907763864.jpg?fit=1200%2C826&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2024\/05\/Blut-praehospital-e1756907763864.jpg?fit=1200%2C826&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2024\/05\/Blut-praehospital-e1756907763864.jpg?fit=1200%2C826&resize=1050%2C600 3x"},"classes":[]},{"id":5357,"url":"http:\/\/news-papers.eu\/?p=5357","url_meta":{"origin":12619,"position":5},"title":"Pr\u00e4hospitale Gerinnungstherapie","author":"Bj\u00f6rn Hossfeld","date":"September 30, 2017","format":false,"excerpt":"Verbluten ist die Ursache f\u00fcr etwa die H\u00e4lfte der Todesf\u00e4lle in den ersten 6 h nach Trauma. Pr\u00e4hospiale Transfusionen von Erythrozytenkonzentraten oder Plasma sind Gegenstand der aktuellen Diskussion, die Gabe von Gerinningsfaktoren wie Fibrinogen bereits vor Erreichen des Schockraums wird gerade in Studien untersucht. Ein Autorenteam um Heiko Lier aus\u2026","rel":"","context":"In &quot;Blutstillung&quot;","block_context":{"text":"Blutstillung","link":"http:\/\/news-papers.eu\/?cat=4"},"img":{"alt_text":"Blutstillung","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/IMG_6099.jpg?fit=900%2C1200&resize=700%2C400 2x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/12619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12619"}],"version-history":[{"count":3,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/12619\/revisions"}],"predecessor-version":[{"id":12623,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/12619\/revisions\/12623"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/12621"}],"wp:attachment":[{"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12619"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}