Podcast #150: Platelet Transfusion

f0d0df7e-0c53-4ced-9581-6cae44786067Run Time: 2 minutes

Author: Dylan Luyten M.D.

Educational Pearls:

  • For years it has been a widely accepted policy to give platelet transfusions to patients with ICH regardless of their antiplatelet medication history, but is it necessary?
  • A study in Holland – Dylan’s people – looked at the effects of platelet transfusion in patients on antiplatelet drugs admitted for an ICH.
  • The randomized trial evaluated standard care vs. standard care with platelet transfusion for ICH patients, not in a coma, who had taken an antiplatelet drug within the last week.
  • If  patients received platelets they had twice the risk of adverse events while in the hospital – MI, thrombotic events, allergic reaction, etc. So maybe platelets have more harm than benefit in this pt population.

Link to Podcast: http://medicalminute.madewithopinion.com/platelet-transfusion/

References: http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)30392-0.pdf

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