Handbook of Transfusion Medicine   –   4th edition

Table 4   Fresh frozen plasma, SDFFP, MBFFP and cryoprecipitate

Fresh frozen plasma

mean

sd

95%CI

range

Number of donors per pack

1

 

 

 

Volume ml

273

± 17

277–279

240–300

Plasma ml

220

 

 

 

Anticoagulant ml

50

 

 

 

Fibrinogen g/l

20–50

 

 

 

Fibrinogen mg per pack estimated

 

 

554–1395

 

Factor VIII c IU/ml (in > 75% packs)

> 0.7

 

1.03–1.06

 

Other coagulation factors

variable

 

 

 

Other plasma proteins

< normal plasma

 

 

 

Storage

2 years at -30°C

 

 

 

Methylene blue plasma1

Number of donors per pack

1

 

 

 

Volume ml

232

± 18

 

 

Plasma ml

220

 

 

 

Anticoagulant ml

50

 

 

 

Factor VIII c IU/ml (in > 75% packs)

> 0.7

 

 

 

Storage

2 years at -30°C

 

 

 

Solvent-detergent plasma1

Number of donors per pack

380–2500

 

 

 

Volume ml

200

 

 

 

Fibrinogen g/l

27

 

 

 

Factor VIII c IU/ml (in > 75% packs)

> 0.5

 

 

 

Storage

1 year at -30°C

 

 

 

Compatibility

FFP should be ABO compatible to avoid risk of haemolysis caused by donor anti A or anti B
FFP does not need to be RhD matched

Dosing guide

12–15 ml/kg would typically increase fibrinogen levels by about 1 g/l

Administration

Use standard blood administration set
Rapid infusion may increase risk of acute reactions

Cautions

Risk of volume overload
Rapid infusion may increase risk of adverse reaction

Infection risk

Pathogen reduction should reduce any risk due to micro-organisms
Non-UK plasma should reduce risk of vCJD

 

Source: NBS and SNBTS routine QA data
Note:
1More detail of SDFFP and MBFFP is available at www.transfusionguidelines.org.uk

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