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Thromboelastogram II

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Data Interpretation in Anesthesia

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Abstract

Conventional coagulation tests like PT and aPTT which assess only a portion of the coagulation system do not provide information on the full balance of coagulation and anticoagulation. Thromboelastography (TEG) can be performed on whole blood and provides information on clot formation, stabilization, and dissolution thus assessing coagulation and fibrinolysis. It can be used to assess hemostasis in cardiac surgery, liver transplantation, postpartum hemorrhage, and trauma resuscitation. TEG has been shown to reduce blood transfusion in cardiac surgery.

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Further Reading

  1. Holcomb JB, Minei KM, Scerbo ML, et al. Admission rapid thromboelastography can replace conventional coagulation tests in the emergency department. Ann Surg. 2012;256(3):476–86.

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  2. Kashuk JL, Moore EE, Wohlauer H, et al. Initial experiences with point-of-care rapid thromboelastography for management of life threatening postinjury coagulopathy. Transfusion. 2012;52:23–33.

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  3. McGrath DJ, et al. [Thromboelastography analysis] maximum amplitude predicts postoperative thrombotic complications including myocardial infarction. Anesth Analg. 2005;100:1576–83.

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  4. Cryer GH, et al. Massive transfusion in trauma guidelines. In American College of Surgeons. Trauma Quality Improvement Program. Best Practice Guidelines. https://www.facs.org/~/media/files/quality%20programs/trauma/tqip/massive%20transfusion%20in%20trauma%20guildelines.ashx. Accessed 9 October 2016.

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Authors and Affiliations

  1. Department of Anesthesiology, Alliance Health Midwest, Midwest City, OK, USA

    Tilak D. Raj MD, MRCP, FRCA

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  1. Tilak D. Raj MD, MRCP, FRCA
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Correspondence to Tilak D. Raj MD, MRCP, FRCA .

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Editors and Affiliations

  1. Alliance Health Midwest, Midwest City, Oklahoma, USA

    Tilak D. Raj

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Raj, T.D. (2017). Thromboelastogram II. In: Raj, T. (eds) Data Interpretation in Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-55862-2_31

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  • DOI: https://doi.org/10.1007/978-3-319-55862-2_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55861-5

  • Online ISBN: 978-3-319-55862-2

  • eBook Packages: MedicineMedicine (R0)

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