May 16 2012
From Kim Kinney at Indiana University Medical Center (IU Health): Hi George. We are being asked to make the thromboelastograph (TEG) available in our special coag lab for clinical use. I am curious to poll others regarding the use of TEG, who is running the test, who is interpreting the results, etc. We have had the TEG available for several research studies here at IU Health but the testing was performed by a research lab. Thanks for the help, Kim
Hi, Kim, it is great to hear from you again, and I hope we get some feedback! I rarely see TEGs in clinical labs, they seem to live mostly in operating suites where they are used to monitor heparin or thrombolytic therapy. Geo.
Comments (3)
Global Hemostasis Assays
We have been running the TEG‘s in the hematology/special coa
We have been running the TEG‘s in the hematology/special coag lab for the last 5 years. The test is available 24/7/365 by the hematology technologists. It is used mostly for liver transplant patients during surgery and is interpreted by the anesthesiologist during surgery. They are able to see the TEG tracings on monitors as they run in the lab. We also run TEG‘s on some ICU patients and pediatric traumas/ECMO patients. In the special coag lab we use the TEG analyzers for our platelet mapping test for aspirin and Plavix.
We have had a TEG in hematology/blood bank for a little over
We have had a TEG in hematology/blood bank for a little over two years. Our technologists are performing the assays. Most of the interpretations are done by a perfusionist. Kim, feel free to contact me if you need more info.
We are running the TEG for liver transplants and cardiac cas
We are running the TEG for liver transplants and cardiac cases for pediatrics. We have trained the lab techs to run the tests in the lab, and there are monitors in the ORs so the results can be reviewed by the surgical teams as they are generated. The results are interpreted by Hematology. I know that UC is also running TEG in the adult setting for liver transplants as well as for massive trauma protocols, again by the techs in the lab. Hope this helps!