Thromboelastography (TEG) - Revision history

Danbot: Add Category:Labs

2026-03-22T06:44:02Z

← Older revision		Revision as of 06:44, 22 March 2026
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	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Heme/Onc]]		[[Category:Heme/Onc]]
			[[Category:Labs]]

Kxl328: /* External Links */

2019-04-21T18:06:38Z

External Links

← Older revision		Revision as of 18:06, 21 April 2019
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	==External Links==		==External Links==
	*[http://marylandccproject.org/core-content/utility-teg-blood-component-therapy/ Maryland CC Project - TEG]		*[http://marylandccproject.org/core-content/utility-teg-blood-component-therapy/ Maryland CC Project - TEG]
			*[https://litfl.com/thromboelastogram-teg/ Life In the Fast Lane - TEG]

	==References==		==References==

Tomfadial: /* TEG Diagram */

2018-09-08T17:31:43Z

TEG Diagram

← Older revision		Revision as of 17:31, 8 September 2018
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	==TEG Diagram==		==TEG Diagram==
	[[File:TEG-~~Illustration~~.png\|500px\|~~Normal thromboelastogram~~]]		[[File:TEG-Legend.png\|500px\|TEG Legend]]
	===TEG Baylor Approach Algorithm<ref>Tapia NM et al. TEG-guided resuscitation is superior to standardized MTP resuscitation in massively transfused penetrating trauma patients. J Trauma Acute Care Surg. 2013;74:378-386.</ref>===		===TEG Baylor Approach Algorithm<ref>Tapia NM et al. TEG-guided resuscitation is superior to standardized MTP resuscitation in massively transfused penetrating trauma patients. J Trauma Acute Care Surg. 2013;74:378-386.</ref>===
	[[File:TEG baylor approach_corrected.jpg\|400px]]		[[File:TEG baylor approach_corrected.jpg\|400px]]

Mholtz at 06:26, 17 June 2018

2018-06-17T06:26:19Z

← Older revision		Revision as of 06:26, 17 June 2018
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	;Lack of evidence ~~strongly~~ suggests that these tests currently should be used ONLY FOR RESEARCH purposes in regards to trauma-induced coagulopathy.<ref>[http://www.cochrane.org/CD010438/INJ_teg-and-rotem-for-diagnosing-trauma-induced-coagulopathy-disorder-of-the-clotting-system-in-adult-trauma-patients-with-bleeding Hunt H, Stanworth S, Curry N, Woolley T, Cooper C, Ukoumunne O, Zhelev Z, Hyde C. TEG and ROTEM for diagnosing trauma‑induced coagulopathy (disorder of the clotting system) in adult trauma patients with bleeding. Cochcrane Review. 16 February 2015]</ref>		''Lack of evidence suggests that these tests currently should be used ONLY FOR RESEARCH purposes in regards to trauma-induced coagulopathy.''<ref>[http://www.cochrane.org/CD010438/INJ_teg-and-rotem-for-diagnosing-trauma-induced-coagulopathy-disorder-of-the-clotting-system-in-adult-trauma-patients-with-bleeding Hunt H, Stanworth S, Curry N, Woolley T, Cooper C, Ukoumunne O, Zhelev Z, Hyde C. TEG and ROTEM for diagnosing trauma‑induced coagulopathy (disorder of the clotting system) in adult trauma patients with bleeding. Cochcrane Review. 16 February 2015]</ref>

	==Background==		==Background==
	~~Tromboelastogram (TEG or formerly ROTEM)~~ is used to identify acute coagulopathies in both traumatic and nontraumatic patients. This may enable focused use of blood products during resuscitation. ~~It quantifies~~ the interaction of platelets with the coagulation cascade (aggregation, clot strengthening, fibrin cross linking and fibrinolysis). 0.36mL of clotted blood from the patient is spun in a small cup with changes in the clot strength recorded electrically.		*Thromboelastography is used to identify acute coagulopathies in both traumatic and nontraumatic patients. This may enable focused use of blood products during resuscitation.
			*Quantifies the interaction of platelets with the coagulation cascade (aggregation, clot strengthening, fibrin cross linking and fibrinolysis).
	~~There are~~ Two commercial types of viscoelastic tests are available:		*0.36mL of clotted blood from the patient is spun in a small cup with changes in the clot strength recorded electrically.
	*Thromboelastography =TEG		*Two commercial types of viscoelastic tests are available:
	*Rotational thromboelastogram = ROTEM		**Thromboelastography =TEG
			**Rotational thromboelastogram = ROTEM
	Heparinase to deactivate heparin is now employed in the TEG(r) technology to prevent interference from heparin in samples<ref>Milind Thakur, Aamer B Ahmed. A Review of Thromboelastography. International Journal of Perioperative Ultrasound and Applied Technologies, January-April 2012;1(1):25-29 [http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=2821&Type=FREE&TYP=TOP&IN=_eJournals/images/JPLOGO.gif&IID=221&isPDF=YES Fulltext]]</ref>		*Heparinase to deactivate heparin is now employed in the TEG(r) technology to prevent interference from heparin in samples<ref>Milind Thakur, Aamer B Ahmed. A Review of Thromboelastography. International Journal of Perioperative Ultrasound and Applied Technologies, January-April 2012;1(1):25-29 [http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=2821&Type=FREE&TYP=TOP&IN=_eJournals/images/JPLOGO.gif&IID=221&isPDF=YES Fulltext]]</ref>

	==Nomenclature Differences for ROTEM==		==Nomenclature Differences for ROTEM==
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	==Normal Values<ref name="normal">Walsh M, Thomas SG, Howard JC, et al. Blood component therapy in trauma guided with the utilization of the perfusionist and thromboelastography. Journal of Extra-Corporeal Technology. 2011 Sep; 43(3):162-7.</ref>==		==Normal Values<ref name="normal">Walsh M, Thomas SG, Howard JC, et al. Blood component therapy in trauma guided with the utilization of the perfusionist and thromboelastography. Journal of Extra-Corporeal Technology. 2011 Sep; 43(3):162-7.</ref>==
	*R: 4-8 min		*''R:'' 4-8 min
	*K: 1-4 min		*''K:'' 1-4 min
	*α-Angle: 47-74°		*''α-Angle:'' 47-74°
	*MA: 55-73mm		*''MA:'' 55-73mm
	*LY 30%: 0-8%		*''LY 30%:'' 0-8%

	==Abnormal Values==		==Abnormal Values==
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	<references/>		<references/>

			[[Category:Trauma]]
	[[Category:Trauma]][[Category:Heme/Onc]]		[[Category:Heme/Onc]]

Kxl328: /* TEG Diagram */

2018-06-15T16:33:59Z

TEG Diagram

← Older revision		Revision as of 16:33, 15 June 2018
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	[[File:TEG-Illustration.png\|500px\|Normal thromboelastogram]]		[[File:TEG-Illustration.png\|500px\|Normal thromboelastogram]]
	===TEG Baylor Approach Algorithm<ref>Tapia NM et al. TEG-guided resuscitation is superior to standardized MTP resuscitation in massively transfused penetrating trauma patients. J Trauma Acute Care Surg. 2013;74:378-386.</ref>===		===TEG Baylor Approach Algorithm<ref>Tapia NM et al. TEG-guided resuscitation is superior to standardized MTP resuscitation in massively transfused penetrating trauma patients. J Trauma Acute Care Surg. 2013;74:378-386.</ref>===
	[[File:TEG ~~Baylor Approach~~.~~JPG~~\|400px]]		[[File:TEG baylor approach_corrected.jpg\|400px]]

	==See Also==		==See Also==

Kxl328: /* TEG Diagram */

2018-04-03T02:47:00Z

TEG Diagram

← Older revision		Revision as of 02:47, 3 April 2018
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	==TEG Diagram==		==TEG Diagram==
	[[File:TEG-Illustration.png\|500px\|Normal thromboelastogram]]		[[File:TEG-Illustration.png\|500px\|Normal thromboelastogram]]
			===TEG Baylor Approach Algorithm<ref>Tapia NM et al. TEG-guided resuscitation is superior to standardized MTP resuscitation in massively transfused penetrating trauma patients. J Trauma Acute Care Surg. 2013;74:378-386.</ref>===
			[[File:TEG Baylor Approach.JPG\|400px]]

	==See Also==		==See Also==

Neil.m.young at 17:34, 6 March 2016

2016-03-06T17:34:45Z

← Older revision		Revision as of 17:34, 6 March 2016
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	*[http://marylandccproject.org/core-content/utility-teg-blood-component-therapy/ Maryland CC Project - TEG]		*[http://marylandccproject.org/core-content/utility-teg-blood-component-therapy/ Maryland CC Project - TEG]

	==~~Sources~~==		==References==
	<references/>		<references/>


	[[Category:Trauma]][[Category:Heme/Onc]]		[[Category:Trauma]][[Category:Heme/Onc]]

Rossdonaldson1: /* See Also */

2015-06-01T12:07:17Z

Yoshmd: heparin reference

2015-04-15T17:51:06Z

heparin reference

← Older revision		Revision as of 17:51, 15 April 2015
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	==Background==		==Background==
	Tromboelastogram (TEG or formerly ROTEM) is used to identify acute coagulopathies in both traumatic and nontraumatic patients. This may enable focused use of blood products during resuscitation. It quantifies the interaction of platelets with the coagulation cascade (aggregation, clot strengthening, fibrin cross linking and fibrinolysis). 0.36mL of clotted blood from the patient is spun in a small cup with changes in the clot strength recorded electrically. There are Two commercial types of viscoelastic tests are available:		Tromboelastogram (TEG or formerly ROTEM) is used to identify acute coagulopathies in both traumatic and nontraumatic patients. This may enable focused use of blood products during resuscitation. It quantifies the interaction of platelets with the coagulation cascade (aggregation, clot strengthening, fibrin cross linking and fibrinolysis). 0.36mL of clotted blood from the patient is spun in a small cup with changes in the clot strength recorded electrically.

			There are Two commercial types of viscoelastic tests are available:
	*Thromboelastography =TEG		*Thromboelastography =TEG
	*Rotational thromboelastogram = ROTEM		*Rotational thromboelastogram = ROTEM

			Heparinase to deactivate heparin is now employed in the TEG(r) technology to prevent interference from heparin in samples<ref>Milind Thakur, Aamer B Ahmed. A Review of Thromboelastography. International Journal of Perioperative Ultrasound and Applied Technologies, January-April 2012;1(1):25-29 [http://www.jaypeejournals.com/eJournals/ShowText.aspx?ID=2821&Type=FREE&TYP=TOP&IN=_eJournals/images/JPLOGO.gif&IID=221&isPDF=YES Fulltext]]</ref>

	==Nomenclature Differences for ROTEM==		==Nomenclature Differences for ROTEM==

Yoshmd: /* External Links */

2015-04-13T14:12:44Z

External Links

← Older revision		Revision as of 14:12, 13 April 2015
Line 62:		Line 62:

	==External Links==		==External Links==
	*[http://marylandccproject.org/core-content/utility-teg-blood-component-therapy/ Maryland CC Project]		*[http://marylandccproject.org/core-content/utility-teg-blood-component-therapy/ Maryland CC Project - TEG]

	==Sources==		==Sources==

← Older revision		Revision as of 12:07, 1 June 2015
Line 62:		Line 62:

	==See Also==		==See Also==
	[[Coagulopathy (Main)]]		*[[Coagulopathy (Main)]]
	[[Transfusions]]		*[[Transfusions]]

	==External Links==		==External Links==