GuidelinesOther guideline
Platelet Transfusion In Neonates
Management guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.
Indications
- Stable neonate, not bleeding, with platelet count < 25 000/µl
- Unstable neonate with platelet count < 50 000/µl
- Bleeding tendency
- Pre-operative (surgery)
- Disseminated intravascular coagulopathy
Administration
Obtain parental consent and discuss transfusion risks with parents before administration.
- Consult registrar if platelet transfusion considered.
- Use filtered platelets.
- Administer with volumetric infusion pump.
- Give 10 - 15 ml/kg over 2 hours.