Template:Platelet transfusion indications: Difference between revisions

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===[[Platelet Transfusion]] Indications===
===[[Platelet Transfusion]] Thresholds===
*<50K & severe bleed or invasive procedure
''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>
*<20K & fever, petechia, or infection
*<50K if planned lumbar puncture or neurosurgical procedure
*<20K if planned for central venous catheter placement (preference toward compressible site)
*<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]]

Revision as of 02:35, 18 October 2015

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
  • <20K if planned for central venous catheter placement (preference toward compressible site)
  • <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

  1. Kaufman, R. et al. Platelet Transfusion: A Clinical Practice Guideline From the AABB. Annals of Internal Medicine. 2015. Vol 162. No. 3 205-214 Full Text