[HSF] aortic root replacement ,svere hyperbilirubinemia

[Edward Bender]

I think that here in the USA, 10 units of platelets is what really is  
one bag of single donor platelets.  The same for cryo.

Ed Bender, MD

On Aug 4, 2007, at 11:46 AM, prasannasimha wrote:

> Wow !!
> 20 Units of platelets and 10-20 Units of cryo is something that I  
> bet would be impossible for many of us to get here . Getting even 6  
> units of platelets is a problem. I usually try to bag out some  
> blood and keep it on a Kahn agitator to serve as an autologous  
> unit. This seems to work well and there was some paper mentioning  
> that this was actually as good as 10 units of stored platelets (I  
> think Levee from Israel on this list did that study)
> How many units do the others routinely "order" or at least keep  
> standby ?
> I am curious because we are going to get component processing  
> license in our blood bank soon and probably we can process blood.  
> Incidentally do any of the members do plateletpheresis of the  
> patient prior to surgery ?
> Prasanna
> Hgrmd at aol.com wrote:
>> Prasanna,
>>   For a routine Bentall I probably use 2 units FFP, 10-20 units  
>> of  cryo, and 20 units of platelets.  If that takes care of the  
>> medical  bleeding, we're done.  If bleeding persists, then we give  
>> more platelets  and send off stat coags.  The amount of FFP I  
>> order depends on how many  units of packed cells have been given  
>> since the patient entered the room.   If none, no FFP.  If 2 or  
>> more, especially if the patient was on Coumadin  preop, I give 2  
>> units.  I measure the fibrinogen and platelet count during  the  
>> pump run.  If fibrinogen less than 200, 10-20 units of cryo.  If   
>> platelet count less than 120K, 10-20 units of platelets.  We still  
>> don't  use TEG as yet (I'm in the process of getting it.)   
>> Hopefully, TEG will  help me refine my blood component needs.   
>> I'll never have the low blood  bank utilization that you possess,  
>> but I'm working on it.
>>  Hal
>>
>>
>>
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