Platelet mapping teg

[anbuitachi]

It's been a while since I used these. Anyone have any good resources?
Recently had a patient for hip revision after hip replacement (not cancer).

Very oozy required lots of transfusion. Patient not on platelet inhibitors. Received subq lovenox 24 hrs ago.

Intraop teg was done

Teg citrated kaolin r 3.7 min ( low)
Teg citrated kaolin ly30 0.2 normal
Teg citrated rapid ma 60.7 mm normal
Teg citrated funct fibrinogen ma 22.6 mm normal

Nothing too crazy. Gave some ffp and rbc

Teg 6 platelet mapping had multiple abnormalities
Including
Tegplm% inhib aa 74.3%( normal 0 to 11)
Tegplm% inhib ADP 27.4% (normal 0 to 17)
Tegplm ma 28.5 (normal 51 to 71)

Any ideas?
And any good resources on refamiliarizing on these stuff? Thanks

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[GassYous]

Just give yellow stuff until it stops

 

[drmwvr]

would you have done anything different if you just sent coags?

 

[anbuitachi]

would you have done anything different if you just sent coags?

i gave some platelets too hahaha

 

[FiO2@21]

It's been a while since I used these. Anyone have any good resources?
Recently had a patient for hip revision after hip replacement (not cancer).

Very oozy required lots of transfusion. Patient not on platelet inhibitors. Received subq lovenox 24 hrs ago.

Intraop teg was done

Teg citrated kaolin r 3.7 min ( low)
Teg citrated kaolin ly30 0.2 normal
Teg citrated rapid ma 60.7 mm normal
Teg citrated funct fibrinogen ma 22.6 mm normal

Nothing too crazy. Gave some ffp and rbc

Teg 6 platelet mapping had multiple abnormalities
Including
Tegplm% inhib aa 74.3%( normal 0 to 11)
Tegplm% inhib ADP 27.4% (normal 0 to 17)
Tegplm ma 28.5 (normal 51 to 71)

Any ideas?
And any good resources on refamiliarizing on these stuff? Thanks

Platelet mapping not really validated in our typical use cases. I know people who transfuse platelets despite normal MA on regular TEG because of platelet mapping findings though 🤷🏽‍♂️