Template:Platelet transfusion indications: Difference between revisions
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===[[Platelet Transfusion]] Thresholds=== | ===[[Platelet Transfusion]] Thresholds=== | ||
''most if not all of the following thresholds are based on weak recommendations with low quality evidence<ref>Kaufman, R. et al. Platelet Transfusion: A Clinical Practice Guideline From the AABB. Annals of Internal Medicine. 2015. Vol 162. No. 3 205-214 [http://annals.org/article.aspx?articleid=1930861 Full Text]</ref> | ''most if not all of the following thresholds are based on weak recommendations with low quality evidence<ref>Kaufman, R. et al. Platelet Transfusion: A Clinical Practice Guideline From the AABB. Annals of Internal Medicine. 2015. Vol 162. No. 3 205-214 [http://annals.org/article.aspx?articleid=1930861 Full Text]</ref> | ||
*<50K if planned lumbar puncture or neurosurgical procedure | *<50K if planned lumbar puncture or neurosurgical procedure<ref>Shuoyan, N. et al. Safety of Lumbar Punctures in Adult Oncology Patients with Thrombocytopenia. Blood 2015 126:1141</ref> | ||
*<20K if planned for central venous catheter placement (preference toward compressible site), or febrile patient | *<20K if planned for central venous catheter placement (preference toward compressible site), or febrile patient | ||
*<10K in asymptomatic patients (unless due to [[ITP]], [[TTP]], or [[HIT]]) | *<10K in asymptomatic patients (unless due to [[ITP]], [[TTP]], or [[HIT]]) | ||
There are no firm recommendations for transfusion thresholds in acute traumatic bleeding but many providers will opt for a goal of 100K, especially if there is evidence of [[ICH]] | There are no firm recommendations for transfusion thresholds in acute traumatic bleeding but many providers will opt for a goal of 100K, especially if there is evidence of [[ICH]] | ||
Latest revision as of 12:29, 17 July 2018
Platelet Transfusion Thresholds
most if not all of the following thresholds are based on weak recommendations with low quality evidence[1]
- <50K if planned lumbar puncture or neurosurgical procedure[2]
- <20K if planned for central venous catheter placement (preference toward compressible site), or febrile patient
- <10K in asymptomatic patients (unless due to ITP, TTP, or HIT)
There are no firm recommendations for transfusion thresholds in acute traumatic bleeding but many providers will opt for a goal of 100K, especially if there is evidence of ICH