cryoprecipitate
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Introduction
Prepared by slowly thawing fresh frozen plasma at 4-6 degrees C. The precipitate is collected & refrozen.
Components:
- factor VIII: 80-120 units/ unit of cryoprecipitate
- fibrinogen: 200-250 mg/unit
- fibronectin
- factor XIII
- von Willebrand's factor
Indications
- active bleeding in von Willebrand's disease*
- active bleeding with plasma fibrinogen < 100 mg/dL[2]
- treatment of choice for fibrinogen deficiency due to DIC, liver disease or thrombolytic therapy[2]
- dysfibrinogenemia
- hemophilia A (factor VIII is better)
- factor XIII deficiency[2]
- also used for preparing topical fibrin glue for surgical hemostatis
* von Willibrand factor-rich factor VIII concentrate is preferable
Procedure
- generally pooled for use. 10 units is common
- ABO blood group compatible preferred
- standard 170 micron filter
- repeat transfusions every 8-10 hours[3]
Complications
- transfusion related infection (not virally inactivated)[2]
More general terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 613-614
- ↑ Jump up to: 2.0 2.1 2.2 2.3 2.4 Medical Knowledge Self Assessment Program (MKSAP) 11, 16, 17, 18. American College of Physicians, Philadelphia 1998, 2012, 2015, 2018.
- ↑ Jump up to: 3.0 3.1 Veterans Administration