Hospitals & Services
Administration of any blood product must be discussed with the Intensive Care Specialist and Surgeon.
Consider RBC transfusion if:
Not indicated if patient not bleeding
If excessive bleeding, give 1 pool of platelets irrespective of the platelet count
If excessive bleeding & INR > 2 or APTT > 60, give 2 units FFP
If INR 1.5-2 and bleeding shows no signs of slowing, give 2 units FFP
If excessive bleeding and fibrinogen < 1.0mg/L, give cryoprecipitate
If fibrinogen 1.0 - 1.5mg/L and excessive bleeding shows no signs of slowing, give cryoprecipitate.