Understand TEG - Thromboelastogram! Make it easy!
HTML-код
- Опубликовано: 30 июл 2024
- What is a TEG? A thromboelastogram? And when do we use it?
How can you use a thromboelastogram to help guide a trauma resuscitation or care for a sick, bleeding patient in the ICU?
How do you interpret a TEG?
Sign up and join the CITIZENSURGEON Community: citizensurgeon.co/signup
MUST HAVE SURGERY BOOKS
Moore's Clinically Oriented Anatomy citizensurgeon.co/Moore
Netter's Anatomical Atlas citizensurgeon.co/Netter
Schwartz Principles of Surgery citizensurgeon.co/Schwartz
Fischer's Mastery of Surgery citizensurgeon.co/Mastery
Zollinger's Atlas of Surgical Operations citizensurgeon.co/Zollinger
Top Knife (MUST MUST HAVE) citizensurgeon.co/topknife
Thromboelastogram, TEG, is a test to examine the entire life span of a blood clot.
While PT, PTT, INR and Fibrinogen are single dimension lab values (still helpful in particular situations), TEG gives you information on the clotting factors, fibrinogen and the strength of clot, the number of platelets and platelet function as well as fibrinolysis and the breakdown of a clot.
With a TEG you can get an idea what blood product is most appropriate during the resuscitation or if you need to make a decision for a patient on the ECMO circuit or a patient with liver failure who needs a procedure and to be optimized.
In this video I'm going to take you through how a TEG works, the benefits of a TEG and then I'll go through the different aspects of a TEG and how to interpret the waveforms.
We'll look at what the R time, K time, alpha angle, maximum amplitude and LYT30 mean and how you can understand it instead of just memorize it!
I'll take you through some different clinical scenarios and we will have an example trauma case that will give us a clear picture of the TEG to begin and to end the video.
I'll also present a few papers I've found most helpful in understanding TEG as well as some links to relevant literature which demonstrates the value of TEG in various clinical applications.
Check out these AMAZING timestamps and fast forward if you need to:
Start 00:00
Clinical Case 01:35
Why use Thromboelastography? 03:15
How does a TEG works? 05:14
TEG is the Lifespan of a Clot 09:00
R time 10:26
K time 11:39
Alpha angle 12:24
Maximum amplitude & LY30 13:15
What does the literature show? 14:15
Example #1 - Increased R Time 16:00
Example #2 - Increase K Time, Decreased Alpha angle 16:34
Example #3 - Decreased Maximum Amplitude 17:37
Example #4 - Increased LY30 18:13
Example #5 - Hypercoagulable 19:12
Example #6 - Disseminated Intravascular Coagulation 20:20
Limitations of TEG 21:12
Clinical case and summary 22:40
REFERENCES
National Library of Medicine TEG Review citizensurgeon.co/TEGreview
EAST Podcast on TEG citizensurgeon.co/TEGpodcast
Goal Directed Hemostatic Resuscitation of Trauma Induced Coagulopathy citizensurgeon.co/TEGgoaldire...
TEG Guided Resuscitation is Superior to MTP citizensurgeon.co/TEGmtp
WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!
DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!
Affiliate Links - There are a few links in the description that may lead to a kickback to me to help support the channel.
fantastic presentation Dr. Erik, preparing for going into my final year of med school, going, so this is really helpful
Chris, that’s awesome! So pumped that I could help!
Thank you Dr.Eric!
Absolutely happy to help!
You’re the best
Very nice presentation. Thank you.
Thanks Sun, glad you liked it!
Amazing presentation 🎉🎉🎉🎉
Thank you
Thanks so much Daniel!
very helpful.tnx alot 👍👍👍🌹
Absolutely so happy it was helpful! If there is another topic you would like to hear about let me know!
tnx dr
please discuss about massive transfusion in trauma especially in pelvic fx🙏
Can you talk about platelet mapping and parameters used
no
👍
Thank you again!
What does this test cost?
The reference I could find is between $250-500, I'm sure this is hospital specific
mvesonline.com/LinkClick.aspx?fileticket=kUKc9LBvlp4%3D&tabid=1665&mid=3581
All those questions at the beginning, I say no...I don't know..🤷♂️.... I'd better watch the video
Haha! Thanks Scott! Miss you man, hope you are well!