plasma transfusions dr oliver karam, md, msc 05-09-2013

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PLASMA TRANSFUSIONS Dr Oliver Karam, MD, MSc 05-09-2013

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Page 1: PLASMA TRANSFUSIONS Dr Oliver Karam, MD, MSc 05-09-2013

PLASMA TRANSFUSION

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Dr Oliver Karam, MD, MSc05-09-2013

Page 2: PLASMA TRANSFUSIONS Dr Oliver Karam, MD, MSc 05-09-2013
Page 3: PLASMA TRANSFUSIONS Dr Oliver Karam, MD, MSc 05-09-2013

What is the effect of plasma on coagulation tests?

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What are the biological effects of plasma transfusions?

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What are the clinical effects of plasma transfusions?

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What should be the appropriate trigger?

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What are the current guidelines?

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Take-home messages

Page 23: PLASMA TRANSFUSIONS Dr Oliver Karam, MD, MSc 05-09-2013

Plasma transfusions

In massively-bleeding patients, plasma seems to improve the outcome.

In non-massively-bleeding patients, plasma are associated with a worse clinical outcome.

Plasma transfusions fail to correct mildly abnormal coagulation tests.

Experts recommend to transfuse only patients with proven coagulopathy AND significant bleeding.