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The INR and FFP

Is This a Good Relationship with Regard to Transfusion Practice?


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Bleeding Risk

Slide 14

December 2008

The information in this study and others was used as the foundation for the development of guidelines on the assessment of bleeding risk prior to surgery or invasive procedures by the British Committee for Standards in Haematology.

I will quote some portions from the summary section of the document.

“Unselected coagulation testing is widely practiced in the process of assessing bleeding risk prior to surgery. This may delay surgery inappropriately and cause unnecessary concern in patients who are found to have ‘abnormal tests.’”

“Patients undergoing surgery should have a bleeding history taken. This should include detail of previous surgery and trauma, a family history and detail of anti-thrombotic medication. Pts with a negative bleeding history do not require routine coagulation screening prior to surgery.”

The following was stated in the recommendations portion of the document: 
“Routine coagulation testing to predict postoperative bleeding risk in unselected patients prior to surgery or other invasive procedures is not recommended.”

Bleeding Risk


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