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31/03/2020

Why is platelet-poor plasma important in coagulation testing?

Why is platelet-poor plasma important in coagulation testing?

In the laboratory, preparing platelet poor plasma is an important step to prevent pre analytical error. Platelets can provide the phospholipid surface for activating clotting factors and hence interfere with the laboratory diagnosis[2].

How long does platelet-poor plasma last?

As a result, PPP may initially cause stiffness and mild swelling that can potentially last for up to one week.

How do you achieve platelet-poor plasma for coagulation testing?

Clinical and Laboratory Standard Institute guidelines require that routine coagulation tests are performed with platelet-poor plasma (< 10,000 platelets/microL) and prepared from whole citrated blood centrifuged at low speed for 10-30 minutes.

Why is platelet poor plasma used in lupus anticoagulant test?

The kaolin clotting time of platelet poor plasma was used as a sensitive test for detecting the lupus anticoagulant in mixtures of normal and patients’ plasmas. Platelets were found to decrease the anticoagulant effect of a typical lupus inhibitor.

Why do we use plasma in coagulation studies?

In order to produce a strong blood clot, a series of 12 plasma proteins, or coagulation “factors,” act together to make a substance called fibrin, which seals the wound. A bleeding disorder known as hemophilia could cause your body to create certain coagulation factors incorrectly, or not at all.

How do you make platelet free plasma?

In the most applied protocol, blood is centrifuged at 2,500 g for 15 minutes to obtain platelet-poor plasma. Subsequently, the platelet-poor plasma is transferred to a new centrifugation tube and centrifuged at 2,500 g for 15 minutes to obtain essentially platelet-free plasma as shown in Figure 1 [2.

How do you centrifuge plasma?

After collection of the whole blood, allow the blood to clot by leaving it undisturbed at room temperature. This usually takes 15–30 minutes. Remove the clot by centrifuging at 1,000–2,000 x g for 10 minutes in a refrigerated centrifuge. The resulting supernatant is designated serum.

What is the difference between plasma and PRP?

PRP: Platelet Rich Plasma As you might have guessed from the name, PRP is a mixture of both platelets and plasma which contains a high concentration of platelets. Platelets are the part of the blood that controls clotting.

How do you get PRP in your blood?

PRP method Do not chill the blood at any time before or during platelet separation. Centrifuge the blood using a ‘soft’ spin. Transfer the supernatant plasma containing platelets into another sterile tube (without anticoagulant). Centrifuge tube at a higher speed (a hard spin) to obtain a platelet concentrate.

How is lupus anticoagulant detected?

It is recommended that two tests be used to detect lupus anticoagulant initially (known as LA-Screen). The most sensitive tests are dilute Russell viper venom test (DRVVT) and a LA-sensitive PTT (PTT-LA), one that uses reagents containing low levels of phospholipid.