Thrombocytopenia is extremely common in critical illness. It's generally a consequence rather than a cause of illness, predicting increased mortality. However, we must remain alert for cases where serious hematologic disease is afoot. The major concern here is the ever-looming possibility of heparin-induced thrombocytopenia and thrombosis (HITT). This chapter explores thrombocytopenia and provides an evidence-based framework for approaching HITT.
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The IBCC chapter is located here.
- The podcast & comments are below.
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Josh Farkas
Josh is the creator of PulmCrit.org. He is an assistant professor of Pulmonary and Critical Care Medicine at the University of Vermont (Burlington Vermont, USA).
Latest posts by Josh Farkas (see all)
- IBCC chapter & cast:Hypernatremia - February 21, 2019
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- IBCC chapter:Salicylate intoxication - February 14, 2019
In your unit, what’s the most common transfusion threshold for platelet transfusion? Let’s say for example, in a patient recovering from stem cell transplantation?
50k for bleeding, 10k for all others. If NSG, whatever fairytale number they make up.
We are lucky enough to have Rotem in some of our units. If available, and in the right context, I’d follow the extem for these patients.