Table 2. Summary of the critical elements of a thrombelastography 38 .
Phase of Coagulation | TEG Parameter | Normal Range | Description | Interpretation in a Hypocoagulable Patients |
---|---|---|---|---|
Activation | R time | 5-10 minutes | Time period from the start of the test until the initial clot formation | If R time >10 minutes, consider: FFP, prothrombin complex, anticoagulant reversal |
Amplification | K time | 1-3 minutes | Time from beginning of clot formation to reaching a certain strength, specifically an amplitude of 20mm | If K time >3 minutes, consider: Fibrinogen concentrate or cryoprecipitate |
Propagation | α angle | 53.0-70.0mm | Angle between R and the imaginary line from the initial clot formation to the point of maximum strength related to the K time | If α angle <53mm, consider: Fibrinogen concentrate or cryoprecipitate |
Termination | MA angle | 50-70mm | Highest point on the curve that represents the maximum clot strength | Si MA <50mm, consider: Platelets |
Fibrinolysis | LY30 | 0-3% | Percentage of reduction in amplitude 30 minutes after the MA | If LY30 >3%, consider: Tranexamic acid |
TEG: thrombelastography