Neonatal Plasma Transfusion: An Evidence-Based Review

Amy K. Keir, Simon J. Stanworth

Research output: Contribution to journalReview articlepeer-review

26 Citations (Scopus)

Abstract

Several clinical scenarios for plasma transfusion are repeatedly identified in audits, including treatment of bleeding in association with laboratory evidence of coagulopathy, correction of disseminated intravascular coagulation, prevention of intraventricular hemorrhage, management of critically ill neonates (eg, during sepsis or as a volume expander), or correction of markers of prolonged coagulation in the absence of bleeding. The findings of at least one national audit of transfusion practice indicated that almost half of plasma transfusions are given to neonates with abnormal coagulation values with no evidence of active bleeding, despite the limited evidence base to support the effectiveness of this practice. Plasma transfusions to neonates should be considered in the clinical context of bleeding (eg, vitamin K dependent), disseminated intravascular coagulation, and very rare inherited deficiencies of coagulation factors. There seems to be no role for prophylactic plasma to prevent intraventricular hemorrhage or for use as a volume expander.

Original languageEnglish
Pages (from-to)174-182
Number of pages9
JournalTransfusion Medicine Reviews
Volume30
Issue number4
DOIs
Publication statusPublished or Issued - 1 Oct 2016
Externally publishedYes

Keywords

  • Evidence-based medicine
  • Infant
  • Newborn
  • Plasma

ASJC Scopus subject areas

  • Hematology
  • Clinical Biochemistry
  • Biochemistry, medical

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