Procedure Risks and Platelet Targets for Transfusion LOW RISK - Transfuse ≥ 20,000/uL • Paracentesis, EGD or colonoscopy, mucosal biopsies, Prophylactic variceal bleeding, Small polypectomy, Capsule endoscopy, Push enteroscopy, Diagnostic balloon enteroscopy, ERCP without balloon dilation or stent, EUS without FNA, Enteral stent deployment, Argon plasma coagulation, Barrett's ablation, Central line placement, Bone marrow biopsy, Thoracentesis, Transjugular liver biopsy MODERATE RISK - Transfuse ≥ 50,000/uL • Percutaneous liver biopsy, Larger polypectomy, EMR or ESD, ampullectomy, Cystgastrostomy, PEG or jejunostomy tube, Endoscopic pneumatic/Bougie dilation, Endoscopic tumor ablation, ERCP with sphincterotomy, Locoregional therapy of HCC, Thoracentesis, Percutaneous IR-guided organ biopsy, Diagnostic lumbar puncture, Cardiac catheterization, Surgical procedures (non-neuroaxial) HIGH RISK - Transfuse ≥ 100,000/uL • Intracranial and spinal procedures Dr. Enrik Aguila @enrrikke #Platelet #Transfusion #thresholds #targets #management #risk #procedures #thrombocytopenia
