{"id":2325,"date":"2016-06-09T13:33:38","date_gmt":"2016-06-09T13:33:38","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemtp\/"},"modified":"2026-03-12T20:02:16","modified_gmt":"2026-03-12T20:02:16","slug":"hemtp","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/hemtp\/","title":{"rendered":"Indications for Transfusion of Platelets"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Platelet transfusion may be indicated to prevent hemorrhage in patients with thrombocytopenia or platelet function defects.<br \/>\n<!--more--><\/p>\n<p><b>Indications for Transfusion of Platelets in Adults<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 195px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 27px;\" valign=\"TOP\">\n<td style=\"height: 27px;\" width=\"332\"><b>Prophylactic transfusion indications<\/b><\/td>\n<td style=\"text-align: center; height: 27px;\" width=\"150\"><b>Platelet count (\u00d7 10<sup>3<\/sup>per uL)<\/b><\/td>\n<\/tr>\n<tr style=\"height: 24px;\" valign=\"TOP\">\n<td style=\"height: 24px;\" width=\"332\">Major surgery or invasive procedure, no active bleeding<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"150\">&lt;\/= 50<\/td>\n<\/tr>\n<tr style=\"height: 24px;\" valign=\"TOP\">\n<td style=\"height: 24px;\" width=\"332\">Ocular surgery or neurosurgery, no active bleeding<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"150\">&lt;\/= 100<\/td>\n<\/tr>\n<tr style=\"height: 48px;\" valign=\"TOP\">\n<td style=\"height: 48px;\" width=\"332\">Surgery with active bleeding<\/td>\n<td style=\"text-align: center; height: 48px;\" width=\"150\">&lt; 50 (usually)<br \/>\n&gt; 100 (rarely)<\/td>\n<\/tr>\n<tr style=\"height: 24px;\" valign=\"TOP\">\n<td style=\"height: 24px;\" width=\"332\">Stable, nonbleeding<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"150\">&lt; 10<\/td>\n<\/tr>\n<tr style=\"height: 48px;\" valign=\"TOP\">\n<td style=\"height: 48px;\" width=\"332\">Stable, nonbleeding, and body temperature &gt; 100.4\u00b0F (38\u00b0C) or undergoing invasive procedure<\/td>\n<td style=\"text-align: center; height: 48px;\" width=\"150\">&lt; 20<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>Indications for Transfusion of Platelets in Neonates<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr valign=\"TOP\">\n<td style=\"width: 23.4432%;\" width=\"150\"><b>Platelet count<br \/>\n(\u00d7 10<sup>3<\/sup>\u00a0per uL)<\/b><\/td>\n<td style=\"width: 76.4347%;\" width=\"332\"><b>Indications<\/b><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 23.4432%;\" width=\"150\">&lt; 20<\/td>\n<td style=\"width: 76.4347%;\" width=\"332\">Always transfuse<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 23.4432%;\" width=\"150\">20 to &lt; 30<\/td>\n<td style=\"width: 76.4347%;\" width=\"332\">Consider transfusion; transfuse for clinical reasons (e.g., active bleeding, lumbar puncture)<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"width: 23.4432%;\" width=\"150\">30 to 50<\/td>\n<td style=\"width: 76.4347%;\" width=\"332\">Transfuse if any of the following indications exist:<br \/>\nFirst week of life with birth weight &lt; 1,000 g (2 lb, 4 oz)<br \/>\nIntraventricular or intraparenchymal cerebral hemorrhage<br \/>\nCoagulation disorder<br \/>\nSepsis or fluctuating arterial venous pressures<br \/>\nInvasive procedure<br \/>\nAlloimmune neonatal thrombocytopenia*<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>* Select a donor (possibly the mother) whose platelets lack the causative antigen. If the mother&#8217;s platelets are used, unit must be washed, irradiated, and resuspended in plasma that is ABO compatible with the neonate.<\/p>\n<p>&nbsp;<\/p>\n<p><b>References:<\/b><\/p>\n<ol>\n<li>Liumbruno G, Bennardello F, Lattanzio A, Piccoli P, Rossetti G; Italian Society of Transfusion Medicine and Immunohaematology (SIMTI) Work Group.\u00a0Recommendations for the transfusion of plasma and platelets. Blood Transfus. 2009 Apr;7(2):132-50.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19503635\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Poterjoy BS, Josephson CD. Platelets, frozen plasma, and cryoprecipitate: what is the clinical evidence for their use in the neonatal intensive care unit? Semin Perinatol. 2009;33(1):66\u201374.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19167583\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Sharma S, Sharma P, Tyler LN. Transfusion of blood and blood products: indications and complications.\u00a0Am Fam Physician. 2011 Mar 15;83(6):719-24.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21404983\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Capraru A, Jalowiec KA, Medri C, Daskalakis M, Zeerleder SS, Mansouri Taleghani B. Platelet Transfusion-Insights from Current Practice to Future Development. J Clin Med. 2021 May 6;10(9):1990. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34066360\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Jun 08, 2016.<br \/>\nUp-date Mar 12, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[171],"tags":[74,73,698,699,700],"class_list":["post-2325","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-indicaciones","tag-indications","tag-plaquetas","tag-platelets","tag-transfusion"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2325"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2325\/revisions"}],"predecessor-version":[{"id":10701,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2325\/revisions\/10701"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}