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Plt utilization/transfusion guidelines for surgical patients on plavix

BBKT
in Transfusion Services

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comment_49388

I'm curious, has anyone established (or been able to control) plt pheresis transfusion guidelines for patients having open heart surgery while on plavix?

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comment_49472

Our guidelines are give them what they want until the surgeon feels the patient is no longer oozing or in danger of bleeding out again. I have given up to 4 pheresis before but its usually only 1 -2 . Our pathologists haven't been able to find concrete published guidelines for plavix users.

comment_49498

There was a recent article in Transfusion on this subject:

Volume 52, Issue 4, April 2012, Pages: 695–701

How do I transfuse platelets (PLTs) to reverse anti-PLT drug effect?

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