Patient Blood Management Guidelines: Module 2

Perioperative

5 Future directions

5.1.9 Triggers for blood component transfusion

Question 9 (prognostic)

In patients undergoing surgery, at what INR (or PT/APTT) for FFP, fibrinogen level for cryoprecipitate and platelet count for platelets concentrates should patients be transfused to avoid risks of significant adverse events?

APTT, activated partial thromboplastin time; FFP, fresh frozen plasma; INR, international normalised ratio; PT, prothrombin time

There was insufficient evidence to define a threshold platelet count, fibrinogen level or INR (or PT/APTT) that is associated with significant adverse events in patients undergoing surgery. Well-designed studies are needed to address these evidence gaps.