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A Review of Thromboelastography for Nurses
Nicholas J Vollmer1, Nicole A Leshko2, Charles S Wilson3
1Nicholas J. Vollmer is an emergency medicine and intensive care unit clinical pharmacy specialist at Mayo Clinic, Rochester, Minnesota.
Critical Care Nurse
|May 31, 2023
Summary
Thromboelastography (TEG) offers advantages over traditional tests for assessing coagulation. This review highlights TEG's utility in diverse clinical settings, guiding better patient management.
Area of Science:
- Hemostasis and Thrombosis Research
- Point-of-Care Diagnostics
- Clinical Coagulation Monitoring
Background:
- Thromboelastography (TEG) is a viscoelastic assay providing rapid, comprehensive coagulation status insights.
- TEG presents potential advantages over conventional coagulation tests in various clinical scenarios.
Approach:
- An integrative literature review was performed using MEDLINE and PubMed.
- Methodology followed Whittemore and Knafl's integrated review guidelines.
- Coauthors conducted independent reviews to ensure study appropriateness.
Key Points:
- TEG use is increasing in complex hemostatic conditions.
- Applications include trauma, drug-induced coagulopathy, liver failure, and cardiothoracic surgery.
- The review discusses current uses and future directions for TEG.
Conclusions:
- TEG offers significant benefits for assessing coagulation across diverse patient populations.
- Multidisciplinary teams, including nurses, should evaluate TEG's utility and guide its application.
- Appropriate interpretation and intervention based on TEG results are crucial for patient care.
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