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- Dec 17, 2003
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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.
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.