Disseminated intravascular coagulation Prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Omer Kamal, M.D.[2]

Overview

There are no established measures for the prevention of DIC. The threshold of initiation of prevention therapy for bleeding in DIC is a platelet count of ≥10,000/microL. Some studies suggest a platelet count of 20,000/microL without bleeding. There is little evidence to support preventive measures for thrombosis in DIC.

Prevention

There are no established measures for the prevention of DIC. The threshold of initiation of prevention therapy for bleeding in DIC is a platelet count of ≥10,000/microL. Some studies suggest a platelet count of 20,000/microL without bleeding.[1] There is little evidence to support preventive measures for thrombosis in DIC. Some experts maintain a fibrinogen level above 100 mg/dl in order to prevent complications of DIC. This can be achieved via transfusion of cryoprecipitate.

References

  1. Squizzato A, Hunt BJ, Kinasewitz GT, Wada H, Ten Cate H, Thachil J, Levi M, Vicente V, D'Angelo A, Di Nisio M (May 2016). "Supportive management strategies for disseminated intravascular coagulation. An international consensus". Thromb. Haemost. 115 (5): 896–904. doi:10.1160/TH15-09-0740. PMID 26676927.


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