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Ecmo transfusion guidelines

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These guidelines incorporate the transfusion criteria used in ongoing quality assurance blood utilization review as required by The Joint Commission (TJC). D. Platelet count less than 150,000 per mm3 for patients on ECMO. (See specific ECMO guidelines) E. Platelet count less than 100,000 per mm3 under the following conditions: 1. CNS bleed Blood transfusion strategies and ECMO during the COVID-19 pandemic. Blood transfusion strategies and ECMO during the COVID-19 pandemic Lancet Respir Med. 2020 May;8(5):e40. doi: 10.1016/S2213-2600(20)30173-9. Epub 2020 Apr 16. Authors David Koeckerling 1 10: Investigation of suspected transfusion-transmitted infection; 11: Reagent manufacture; 12: Donation testing (red cell immunohaematology) 13: Patient testing (red cell immunohaematology) 14: Guidelines for the use of DNA/PCR techniques in Blood Establishments; 15: Molecular typing for red cell antigens; 16: HLA typing and HLA serology The most common platelet threshold was 50,000 × 10 9 /L in 67% of the centers and most common fibrinogen transfusion threshold was 2 g/L. 2 More recently, a Canadian expert consensus document for the adult VV nonbleeding ECMO patient recommended a transfusion threshold of 70 to 75 g/L for hemoglobin and 50,000 × 10 9 /L for platelets.

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