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Fri Jan 16 17:07:21 GMT 2009

Guys,
I just forwarded this on to the Director of Transfusion Services here at Baystate.  He is very good at what he does, and I expect that he will have a good evidence based answer to your question.  I will forward on what I get back in response.
Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Marc Matthews - MedPro MMC X
Sent: Friday, January 16, 2009 8:58 AM
To: Trauma &amp; Critical Care mailing list
Subject: RE: PLAVIX OR ASPIRIN PLATELET INHIBITION ASSAY IN TRAUMA PATIENTS

Dell,

Good question. I have not heard of this device from Accumetrics. We have often lamented that we need to reverse these folks on Plavix and asa and that I know we have given platelets empirically. Do you have any literature on this? Is there someone at your institution that we could call to get some data (just e-mail me off line)? I think it would be a good tool to use in the Trauma Bay or ICU. Is this a point of care test at the bedside or does it go down to a lab?

Would like to hear if anyone has anecdotal experience with this device/lab and if it was useful.

Thanks,

- MRM

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-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of moore677 at aol.com
Sent: Thursday, January 15, 2009 3:20 PM
To: trauma-list at trauma.org
Subject: PLAVIX OR ASPIRIN PLATELET INHIBITION ASSAY IN TRAUMA PATIENTS

Does anyone on the list server have experience with this test from Accumetrics?? We have been using this test (although not much) as another piece of information to evaluate whether a patient may need platelets to partially reverse the effects of aspirin or plavix.? It measures the percent inhibition in patients on either aspirin or plavix.? Seems like a great tool to use, especially in our head bleeds and other conditions where reversal (at least partial) immediately may be beneficial.? Any info/literature you have, anecdotal or otherwise, would be great..............

Dell............

Forrest "Dell" Moore, MD
Trauma Critical Care Surgery
Co-director Trauma & Surgical ICU
St. Joseph's Hospital and Medical Center Phoenix, AZ
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PLAVIX OR ASPIRIN PLATELET INHIBITION ASSAY IN TRAUMA PATIENTS