TEG6s for Pediatrics

We are currently validating them in our Cardiovascular Lab.  I cannot speak to specifics because I have not been involved that closely with the validation....It will not be in CVOR, but they supposedly will have remote viewing from OR.  If you will send me your contact, I can pass along to my CV Lab Manager for more details.  

Deanna Miller 
Children's of Alabama 
Administrative Director
deanna.miller@childrensal.org
205-638-6842

We tried this with the Rotem, another analyzer that does similar testing. The lab eventually pulled it because they forgot to run the QC as required, or it failed and performed patient testing anyway.
I would encourage you to ensure that the physicians are also aware they going to be required to run the QC and perform the Proficiency Testing too.  We got push back on this with them wanting the lab to do these components.

We have TEG6s in our adult OR, Trauma ED, main lab, and blood bank. They are not high complexity but rather moderate complexity.  While the tests can be run on pediatric patients, there most likely will need to be an institutional protocol put in place for neonates and infants.  I do know that it has been in discussion for placement in our pediatric heart OR when it is completed and in our pediatric ED.  Operators consist of nurses, lab staff, anes techs, MDs, and perfusionists.  The QC and Proficiency testing can be the difficult part, as the staff is not real compliant with wanting to get it done and it requires considerable micromanagement on the POC staff's part.

Hello, 

Here at Children's Health we utilize the Teg 6 and it is performed in the lab by lab staff. They are able to view the results in real time. 

Hi...

According to my rep- the TEG 6s is not FDA approved for patients under 18.  
We have one in our CVOR and the perfusionists run.  There are a couple of nurses that were trained to run also.  We just validated one for the core lab for after hours on ECMO patients and the main OR and for the other units.

Toni,  

Agreed, any and all testing on patients <18 years old on the TEG 6s makes it a "high complexity" test and all regulatory high complexity rules apply.   Here in Florida due to state statutes, high complexity testing is not allowed in the POC environment which means it must be ran in the lab by MT's on Peds patients.

We now have 2 Tegs in the adult CVOR and 2 in the Lab for tests ordered by the floors and all Peds patient testing.