We had a 45 year old male coming to the OR today for should arthroscopy. His PMHx is significant for Hep C with cirrhosis and splenomegaly and persistent mild thrombocytopenia ~ 85,000 . Heme/onc consults says to give 1 unit pheresed platelet before case and 1 unit after case to prevent bleeding complication. Plt count today was 45...and became 55 after 1 unit of the pheresed platelet. Surgeon is wondering if it was OK to do the case. What would everyone say? PT/PTT were normal. I discussed the case with the surgeon and arrrived at a way to proceed that made him very happy.