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TEGs are being aggressively marketed as a means to reduce blood product consumption. It was implemented by cardiac anesthesia at our hospital without laboratory approval. It is very difficult for laboratory POCT coordinators to oversee POCT in the ORs. I am very greatful to the CAP inspection team that visited us and investigated TEG operations in the OR. They found several major deficiencies, which brought the issue to the attention of senior hospital administration. It is being done by one anesthesiolgist and a few cardiac perfusionists on a limited basis. I'm not convinced that there is a favorable cost/benefit ratio for this test. I would like to see it recategorized as high complexity. I do not think it is appropriate for POCT by non-laboratory personnel.
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