Tyagi Manvi, Maheshwari Akhil, Guaragni Brunetta, Motta Mario
Department of Pediatrics, Augusta University, Georgia, United States of America.
Weatherby Healthcare, Fort Lauderdale, Florida, United States of America.
Newborn (Clarksville). 2022 Jul-Sep;1(3):271-277. doi: 10.5005/jp-journals-11002-0039. Epub 2022 Jul 10.
Nearly 10% of premature and critically ill infants receive fresh-frozen plasma (FFP) transfusions to reduce their high risk of bleeding. The authors have only limited data to identify relevant clinical predictors of bleeding and to evaluate the efficacy of FFP administration. There is still no consensus on the optimal use of FFP in infants who have abnormal coagulation parameters but are not having active bleeding. The aims of this review are to present current evidence derived from clinical studies focused on the use of FFP in neonatology and then use these data to propose best practice recommendations for the safety of neonates receiving FFP.
近10%的早产和危重症婴儿接受新鲜冰冻血浆(FFP)输血,以降低其高出血风险。作者仅有有限的数据来识别出血的相关临床预测因素,并评估FFP输注的疗效。对于凝血参数异常但无活动性出血的婴儿,FFP的最佳使用仍未达成共识。本综述的目的是展示来自专注于FFP在新生儿学中应用的临床研究的现有证据,然后利用这些数据提出关于接受FFP的新生儿安全性的最佳实践建议。