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March 9, 1994

Practice Parameter for the Use of Fresh-Frozen Plasma, Cryoprecipitate, and Platelets

Author Affiliations

Ochsner Medical Institutions, New Orleans, La; St Luke's Episcopal Hospital, Texas Heart Institute, and University of Texas Medical School, Houston; Presbyterian Healthcare Services and University of New Mexico School of; Medicine, Albuquerque; William Beaumont Hospital, Royal Oak, Mich, and University of Michigan, Ann Arbor; Blood Systems Inc, Scottsdale, Ariz, and the University of New Mexico School of Medicine, Albuquerque; Baylor College of Medicine and The Methodist Hospital, Houston, Tex.
From the Fresh-Frozen Plasma, Cryoprecipitate, and Platelets Administration Practice Guidelines Development Task Force of the College of American Pathologists (CAP), Northfield, III. A list of the members of this task force appears at the end of this article. The Practice Parameter for the Use of Fresh-Frozen Plasma, Cryoprecipitate, and Platelets was adopted by the CAP House of Delegates on October 14,1992, and the CAP Board of Governors accepted this parameter as official CAP policy on May 14, 1993.

JAMA. 1994;271(10):777-781. doi:10.1001/jama.1994.03510340067036

THESE guidelines have been prepared to assist the ordering physician in selecting the proper blood component for obtaining and maintaining hemostasis. While it is not possible to detail every clinical situation for which these components may be indicated, these guidelines will cover most important states. Since these guidelines were developed for adult patients, they may not apply in all cases for pediatric transfusions. Also, these guidelines do not eliminate the need for expert consultation in this complex area of medical practice, and in situations that involve very complex massive bleeding physicians may not be able to adhere to them.

It should be understood that adherence to parameters does not guarantee a successful outcome. Rather, these parameters are provided as an educational tool to assist physicians in providing quality care. If equally valid parameters or views advanced by other respected groups are applicable, the physician is, of course, free to follow

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