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Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization
06:28

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Published on: June 4, 2020

Effect of venipuncture quality on thromboelastography.

Brandi L Garcia-Pereira1, Michael A Scott, Amy M Koenigshof

  • 1Departments of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, MI 48824, USA. Brandi.Garcia@eac-az.com

Journal of Veterinary Emergency and Critical Care (San Antonio, Tex. : 2001)
|April 11, 2012
PubMed
Summary

Venipuncture quality minimally impacts thromboelastography (TEG) results, with suboptimal collection affecting clot initiation time. Discarding an initial sample tube mitigates these effects in dogs.

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Area of Science:

  • Veterinary Medicine
  • Hematology
  • Diagnostic Testing

Background:

  • Thromboelastography (TEG) is a valuable tool for assessing hemostasis.
  • Venipuncture quality can influence laboratory test results.
  • The impact of venipuncture technique on TEG in dogs is not well-established.

Purpose of the Study:

  • To evaluate the effect of venipuncture quality on TEG parameters in dogs.
  • To determine if using a discard tube mitigates potential effects of traumatic venipuncture on TEG results.

Main Methods:

  • Prospective, observational study involving 15 adult dogs at a veterinary teaching hospital.
  • Two venipuncture techniques were used: clean venipuncture (CV) and suboptimal venipuncture (SOV).
  • Two consecutive samples were collected per technique (CV1, CV2, SOV1, SOV2) and analyzed using TEG.

Main Results:

  • Suboptimal venipuncture (SOV1) significantly shortened the R time (clot initiation) compared to clean venipuncture (CV1).
  • No significant differences were observed in R time between the second samples (CV2, SOV2) or other TEG parameters (K, α, MA).
  • The effect of venipuncture trauma on TEG was mild.

Conclusions:

  • Mild venipuncture trauma has a limited impact on overall TEG results in dogs.
  • Poorer venipuncture quality can lead to a faster initiation of clot formation, as indicated by a shorter R time.
  • Collecting a second sample after discarding the initial one effectively mitigates the impact of venipuncture trauma on TEG.