Methodologies and reagents for detecting fibrinolysis and hyperfibrinolysis
In some embodiments, the invention provides a container adapted for detecting hyperfibrinolysis or fibrinolysis in a blood sample using viscoelastic analysis comprising an interior having a coating comprises an inhibitor of fibrinolysis.
1. A container adapted for detecting hyperfibrinolysis or fibrinolysis in a blood sample using viscoelastic analysis comprising an interior having a coating comprising an inhibitor of fibrinolysis and an inhibitor of platelet function,
Wherein the coating is produced by applying a solution comprising both the inhibitor of fibrinolysis and the inhibitor of platelet function to the interior of the container and drying the solution such that it forms the coating on the interior of the container.
2. The container of claim 1 , wherein the inhibitor of fibrinolysis is tranexamic acid.
3. The container of claim 1 , wherein the inhibitor of fibrinolysis is selected from the group consisting of aminocaproic acid, ε-aminocaproic acid, and aprotinin.
4. The container of claim 1 , wherein the viscoelastic analysis is performed using a thromboelastography analyzer system or in a thromboelastometry analyzer system.
5. The container of claim 1 , wherein the inhibitor of fibrinolysis is formulated with sugar in the coating.
6. The container of claim 1 , wherein the inhibitor is formulated with sodium azide in the coating.
7. The container of claim 1 , wherein the inhibitor of platelet function is a glycoprotein IIb/IIIa receptor inhibitor.
8. The container of claim 7 , wherein the glycoprotein IIb/IIIa receptor inhibitor is selected from the group consisting of abciximab, eptifibatide, and tirofiban.
9. The container of claim 1 , wherein the inhibitor of platelet function is an adenosine diphosphate (ADP) receptor inhibitor, adenosine reuptake inhibitor, or a thromboxane inhibitor.
10. The container of claim 1 , wherein the inhibitor of platelet function is cytochalasin D.
11. The container of claim 1 , wherein the container is located on a cassette, wherein the cassette further comprises a second container.