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Manchester University FT: Lowering the Platelet Threshold Prior to Tunnelled Line Insertion in Haematology Patients

In 2016, the British Society of Haematology produced guidelines for the use of platelet transfusions, which recommended a platelet threshold of >20x10⁹/l for the insertion of tunnelled central venous catheters. Before this guidance, a threshold of >50x10⁹/l was commonly used. Anecdotal evidence suggests that practice varies nationally and that practitioners are reluctant to lower the platelet threshold for fear of increased complications due to bleeding. A collaborative study between the Interventional Radiology and Haematology teams in Manchester University Foundation Trust was undertaken to implement the new BSH guidelines and gauge impact on complication rates.

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