Andrej Vitushka

Just sent by forum message. Enjoy!

Thanks for response! Vitamin P -- it's a nice definition :)! Could you please clarify how coagulation tests are taken -- from new vein (newly inserted UAC, UVC or periferal artery cath) only or some other variants are OK?

Dear colleagues! Greetings from Belarus! We're updating our clinical protocols. Please share with us your experience of Fresh Frozen Plasma (FFP) transfusion in non-surgical NICU. Do you use it only in case of bleeding, or bleeding and abnormal coagulation tests should be combined? Or abnormal tests alone is a good reason for FFP (e.g. in ELBW infants). What is bleeding -- fresh IVH III or minor pulmonary hemorrhage also matters? Which thresholds of coagulation tests you use? I've found useful paper on the issue. A table from it with coagulation parameters is attached to this post. Please have a look and tell briefly do you use the same numbers? Clin Perinatol. 2015 Sep;42(3):639-50. doi: 10.1016/j.clp.2015.04.013. Epub 2015 May 16. Fresh Frozen Plasma Administration in the Neonatal Intensive Care Unit: Evidence-Based Guidelines. Motta M1, Del Vecchio A2, Chirico G3. Sincerely, Andrej Vitushka, NICU of National Research Center "Mother and Child", Minsk, Belarus. FFP tab.doc

Coagulation tests. Are they useful in prediction of IVH and other bleedings in preterm and term infants? Maybe some novelties in IVH and PVL prevention. Hope it is not too naive questions 😊. Thanks!