TEG Explained - Understanding the Thromboelastography
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- čas přidán 27. 07. 2024
- Let's talk TEG, also known as the thromboelastography! The popularity of the TEG is growing in the critical care environment. The TEG takes a complex look at our patients entire clotting process and gives us useful values as well as a visual representation of this process helping us to better identify and treat various clotting disorders that could be going on with them. In this lesson I break down the values and appearance of our normal TEG tracing, as well as talk about various tracings that we can see depending what is happening with our patients, as well as the potential treatments in those scenarios.
0:00 Intro
1:15 What is TEG
1:56 How it Works
3:15 Basics of TEG
4:23 R Time
5:31 K
6:15 a-Angle
7:03 MA
8:02 LY30
9:09 Patterns
9:25 Factor Deficiency
9:58 Low Platelet Function
10:31 Low Fibrinogen
10:56 Primary Fibrinolysis
11:48 Hypo-coagulation
12: 27 Hypercoagulation
13:02 Hypercoagulation with Primary Fibrinolysis
14:07 Conclusion
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-Eddie
super
Wonderful presentation! Clear and brief and yet thorough! Thank you!
Thank you so much - Fantastic explanation. Nice, concise and visually very well explained. Looking forward to more videos!
Just saying thanks - I’ve been an ICU nurse several years, but had never heard of the TEG before CRNA school. My life depends on quick understanding of these things and the visual explanation is invaluable. Thank-you!
OMGN thank you for this ! Just talked about this on surgery didactics and i've never read one of these before. Thank you, love your videos !
You are a God send! These videos are amazing. I’m a multimodal learner so I appreciate the color coded visuals and conversational explanations. So easy to listen to, visualize, and bring to conception the most complicated topics! I’m a CVICU RN and these videos have helped me so much! Thanks again!
Wow, so kind of you Marissa! Really glad to hear the style of the videos and the info was helpful for you!
Amazing explanation... Simple yet effective, like TEG itself!
Thank you for making this video! I’ve drawn TEGs on some of my COVID patients and it’s great to finally grasp what it all means.
Awesome! It really is a pretty cool way of looking at the clotting process and is quite useful in practice. I'm glad to hear the video was helpful for you.
Thank you so much for explaining it so easily
Omg! Thank u for going in depth with this TEG. I always encounter this when CVT surgeons ask for this prior to heart surgery. We don't do this test in our hospital and replace it with another test. I am learning so much in your videos!
This is so awesome to hear! Glad you liked this as well as other videos and happy to be able to help!
Amazing! Very clear and understandable explanation!
Brilliant one. Thank you so much
Thank you! You make my icu experience/learning so much easier.
Absolutely my pleasure!
amazing video; concise but thorough!
Wow! Thank you for this video! A lot of nurses don’t know what this really is (including myself) and it’s great to get some education on it! Looks pretty complex but broken down like this is very helpful in the basic understanding. Now I can look at my patients TEG value and know what I’m looking at 😁
So awesome to hear this! This is my whole goal to try and help explain some of these topics in ways that make it easier for others to grasp and understand the concepts. I'm happy to hear this video was help for you and wishing you all the best!
Best presentation of TEG I have ever read. Thanks
Appreciate that! Thank you. Glad you liked it.
Great lesson! I'd love to see TEG and ROTEM clinical cases to solve together. It would help my clinical reasoning a lot. Best explanation on the interwebs of TEG!
Wow, thank you so much Vivi! I've had a lot of people ask for clinical cases in the past, but I just haven't found a good fit for them with the approach with these videos. Glad to hear you liked the lesson though!
Amazingly crisp and awesome...
Thank you so much!
Great video. You did a good job of breaking it down so that it is easy to understand!
Thank you so much Joel and happy to hear this. This was my goal and I'm glad to know it was well received!
Thank you so much.❤ Great details
This has helped immensely! I never had TEG values become important until I joined the awesome trauma/crit care team recently.
Awesome!! Yeah TEG is quite popular in trauma and ECMO. Glad this helped!
Great and simple to the point 😍👏🏻great work
Finally I understood TEG. Thank you so much
Awesome!!!! You are very welcome!
Eddie, can't thank you enough! I was only told that we want to see a champagne glass shape, not tear drop, not martini. Never fully understood why and what each component indicates, until now. This is a video I will be watching several times in order to fully comprehend.
Yay!! So glad to hear it was able to help things make sense for you!!
Once again Thanks a billion! Really love seeing your videos
You are more than welcome! I'm really glad you are enjoying them. Thank you so much for taking the time to leave such an awesome comment!
Excellent video. Thanks!
Thank you Timothy!
Great video! We utilize TEG in the icu and the OR, but I never really understood the concept. Thank you!
Great to hear Andy! Happy to have been able to help shed light on this. It is really useful and its always good to have a good understanding of its results and potential treatments.
Looking forward to see more pathology/anatomy related videos, hope some are on the drawing board. Awsome videos ICUAdvantage!
Thank you so much! Depending on the topic covered, if I feel it is helpful to have more understand of the A&P and Pathophysiology prior to the topic then I make sure and include that in there. Glad to hear you enjoy them!
Simplified and concisely covered 👍👌
Glad you liked it!
Thanks so much! This was really helpful.
Awesome! So happy to hear this Jane and my pleasure!
Excellent video - great review!
Awesome! Thanks Kandice and glad you liked it!
Amazing explanation
Amazing explanation. Keep being helpful
Thank you and will do!
Very helpful video, thanks for making it.
Glad to hear it!
excellent presentation
Always wondered, never able to find very digestible information on. Ty 😁
Perfect! Glad to have been able to help!
Been on the field for 8 years and worked in 4 different countries, never heard or seen TEG. anyway, thank you very much for the precious information that keep us updated. Many Thanks my friend 🥰
Wow! Hopefully you start to see it soon. It really is a great tool at looking at clotting for our patients.
@@ICUAdvantage I hope so, to see you too in person ....hehehe
We use TEG a lot in the icu. Specially used in post op level 1 trauma pts
@@19mterry never seen it in middle east
You have never heard about TEG because it was recognized as a valid method by FDA, although it was discovered in the 1940's.
Option 1: it's a brilliant technique that nobody recognized as brilliant for, hm, 70 years?
Option 2: this is overengineered, absurdly complex method that cannot work.
Thank you! Very helpful
Glad it was helpful!
Very helpful, thank u
Super helpful, especially as TEG looks like it might become the standard of care for diagnosis of micro clotting in covid.
It has a lot of great uses. I love TEG. Glad you liked the video!
Incredible video
Wow, thank you Matt!
Very impressive very conclusive .. thanxxxx
Thank you. Glad you liked it!
Have an interview on the 8th April and was looking into how their machines work so I'm not so completely clueless as I've never used a TEG before. Thanks!
Very cool. Wishing you the best for your interview!
💗A heartfelt THANK YOU for all your hard work and kindness💗❣ You seem to be a very humble and sympathetic human being who really wants to help and encourage everyone in their learning process💕😌. I hope you yourself are well and taking care of yourself as if you were one of your patients...💓
You are very welcome and thank you so much for such an uplifting comment Elina. I really appreciate that and hope you are doing well and taking care yourself!
@@ICUAdvantage 💗Thank you💗😌❣
Quite informative. Thx.
You're welcome!
very helpful, thank you
Glad it was helpful!
Excellent... thanks a lot !
You're very welcome!
This helps tremendously
Woohoo!!
Very good and informative videos 👍
Thank you so much!
this was brilliant
superb.
Thank you so much sir!
Youre welcome!
It's a great service to intensivists community.
Awesome to hear! Truly happy to be able to help!
Cool video!
Very well explained
Thank you!
Great Like your work
Thanx for sharing your knowledge
Happy to help!
@@ICUAdvantage today I gave your lecture in a 150 -person - chat group of pediatricians in Iran . Thanks for your help .
@@aminkeykha5546 So cool!
Awesome video
Happy to hear this!
Thank you, very much
You are welcome!
Thank you
Great presentation, would upu be able to share standard of practice for TEG/ ROTEM indication for trauma patient. Thank you
Thanks❤
Excellent explanation
Brief extraordinary simple to catch and hold
Awesome!
Excellent
Thanks Chuck!
Obrigado!
Thank you!!
Wonderful video!
Do you think using TEG exclusively in cirrhotic patients or patients on DOACs who are bleeding (where INR is not useful), may be useful to guide therapy besides just giving PCC and Vit K?
In DIC, all coagulation factors are decreased. I was wondering how come R is shortened in the DIC example you showed. Shouldn't it be prolonged?
The only youtuber that I give like even before watching the video 😘
You are the best!!!
@@ICUAdvantage 😘
Great great!!!!!!!
Thank you!!!
Thanks
Excellent video. Anyone have good mnemonics for TEG interpretation and how to remember everything?
Glad you liked it. No pneumonic that I'm aware of. Would be interested to hear if anyone does though.
Teg bhaiiiii❤❤❤
👉R 5 to 10min
👉K initiation to 20mm strength point1 to 3 min (Cryo ppt for fibrinogen)
👉Alpha angle 50 to 70° Cryo of reduced
👉MA 55 to 73mm platelet and DDAVP
Love seeing a fellow RN explain this topic so flawlessly. You are helping me pass my CRNA boards! Thanks a ton
So cool!! Thanks so much and glad you enjoyed the vid!
Is TEG something done at bedside/in surgical suite or does lab typically handle it?
Both! At least where I am, in the OR they have a machine to be able to run right there. In our units, we send the specimen off to lab to be run.
Thanks too much.
Oh Dear, Today I was night duty and all what I was thinking of is you and TEG and really how important it is. We had that DIC patient ,in which Doctor took the decision to administer tranixemic acid regularily. I tried to discuss and explain but he shut me off. I hope she will make it without perminent disability :( .
Sorry to hear about the difficult night. Hoping for recovery for your patient!
@@ICUAdvantage thank you ❤❤❤❤❤❤❤, please stay safe and take care of yourself as well. ❤
Dear sir when patients are started heparin then what type of kit are use in this test..
I mean kevolin kit or kevolin with heparin kit or any other kit if you know please suggest me.
Thank you for video, it was very useful for me. Please, can you add subtitles. Thank you very much.
Glad to hear you liked it. Unfortunately I just don't have the time to add subtitles. Believe it or not but they take a very long time to do and I just don't have that free time available right now. Sorry.
Ok. Thank you for answer. I am from Russia, and with subtitles, i understand more information, but thank you very much again.
What's the difference between k & alfa?
Could you do a video for mtp
Yes! It's on the todo list :) Hopefully soon.
Is there a NICU version of your page?
No sorry. I've got not experience in that or PICU.
What is function fibrinogen?
Converted to fibrin and forms clot.
Rock it by tokyo machine from rocket league 👌👌
Video starts at 2:00
This is so complex, so dependent from viscosity, temperature... There is no way in the Universe that this thing can be reliable.
TXA should not be routinely given in DIC!
Transanemic acid
Please cover the individual channels - CK, CKH, CFF etc.
Also it's "aminocaproic", not "aminocaporic" acid
All good otherwise !
Thank you
You're welcome