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Sat Jul 28 11:59:01 BST 2007

Some useful quick reference about TEG?
Thanks in advance,
Eduardo

2007/7/27, KMATTOX at aol.com <KMATTOX at aol.com>:
>
> We have a TEG and a Rapid TEG in the STAT lab between the SICU and
> the  OR.
> The OB/Gyn area also has a TEG.   For the surgery  service, the TEG has
> almost replaced all other, ALL OTHER, coagulation  studies.   It is
> fantastic.
> Initially we looked at the "pattern"  and now we look at the bottom of the
> report
> at the numbers and the angle  reports.    It is much more FUNCTIONAL than
> the
> historic clotting  tests.
>
> I predict that within 5 years, the PTT, PT, INR, aPTT, platelet count,
> Fibrinogen, etc., will be TOTALLY replaced by the TEG.   With the  Rapid
> TEG we get
> results back in 5 minutes and it is dynamite to aid in decision  making.
> For the INR and PT, the results take hours and the  patients condition no
> longer is the same at the time of therapy as it was at the  time of the
> test.    It
> may be that the Activated Clotting Time  for heparin activity during
> cardiopulmonary bypass will remain.
>
> I truly believe that EACH OF YOU MUST become knowledgeable and
> conversant  in
> the TEG.
>
> Join the 21st century.   Do not remain trapped in the  past.
>
> Kenneth L. Mattox, MD
>
>
>
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-- 
Eduardo Palencia Herrejón
Servicio de Medicina Intensiva
Hospital Gregorio Marañón, Madrid, Spain
palenciahccml at gmail.com

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