Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disorders

Abstract Glanzmann thrombasthenia (GT) is a genetic bleeding disorder characterised by severely reduced/absent platelet aggregation in response to multiple physiological agonists. The severity of bleeding in GT varies markedly, as does the emergency situations and complications encountered in patien...

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Main Authors: Mathieu Fiore, Janine-Sophie Giraudet, Marie-Christine Alessi, Céline Falaise, Dominique Desprez, Roseline d’Oiron, Sophie Voisin, Marie-Françoise Hurtaud, Hélène Boutroux, Paul Saultier, Cécile Lavenu-Bombled, Gilles Bagou, Xavier Dubucs, Anthony Chauvin, Christophe Leroy, Francine Meckert, François Kerbaul, Nicolas Giraud, Ambra Pühler, Ana Rath
Format: Article
Language:English
Published: BMC 2023-06-01
Series:Orphanet Journal of Rare Diseases
Online Access:https://doi.org/10.1186/s13023-023-02787-2
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author Mathieu Fiore
Janine-Sophie Giraudet
Marie-Christine Alessi
Céline Falaise
Dominique Desprez
Roseline d’Oiron
Sophie Voisin
Marie-Françoise Hurtaud
Hélène Boutroux
Paul Saultier
Cécile Lavenu-Bombled
Gilles Bagou
Xavier Dubucs
Anthony Chauvin
Christophe Leroy
Francine Meckert
François Kerbaul
Nicolas Giraud
Ambra Pühler
Ana Rath
author_facet Mathieu Fiore
Janine-Sophie Giraudet
Marie-Christine Alessi
Céline Falaise
Dominique Desprez
Roseline d’Oiron
Sophie Voisin
Marie-Françoise Hurtaud
Hélène Boutroux
Paul Saultier
Cécile Lavenu-Bombled
Gilles Bagou
Xavier Dubucs
Anthony Chauvin
Christophe Leroy
Francine Meckert
François Kerbaul
Nicolas Giraud
Ambra Pühler
Ana Rath
author_sort Mathieu Fiore
collection DOAJ
description Abstract Glanzmann thrombasthenia (GT) is a genetic bleeding disorder characterised by severely reduced/absent platelet aggregation in response to multiple physiological agonists. The severity of bleeding in GT varies markedly, as does the emergency situations and complications encountered in patients. A number of emergency situations may occur in the context of GT, including spontaneous or provoked bleeding, such as surgery or childbirth. While general management principles apply in each of these settings, specific considerations are essential for the management of GT to avoid escalating minor bleeding events. These recommendations have been developed from a literature review and consensus from experts of the French Network for Inherited Platelet Disorders, the French Society of Emergency Medicine, representatives of patients’ associations, and Orphanet to aid decision making and optimise clinical care by non-GT expert health professionals who encounter emergency situations in patients with GT.
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spelling doaj.art-afdd1c0969c24287ad8dac6e3b9a780a2023-07-02T11:26:41ZengBMCOrphanet Journal of Rare Diseases1750-11722023-06-011811810.1186/s13023-023-02787-2Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disordersMathieu Fiore0Janine-Sophie Giraudet1Marie-Christine Alessi2Céline Falaise3Dominique Desprez4Roseline d’Oiron5Sophie Voisin6Marie-Françoise Hurtaud7Hélène Boutroux8Paul Saultier9Cécile Lavenu-Bombled10Gilles Bagou11Xavier Dubucs12Anthony Chauvin13Christophe Leroy14Francine Meckert15François Kerbaul16Nicolas Giraud17Ambra Pühler18Ana Rath19Laboratoire d’hématologie, Centre de Référence des Pathologies Plaquettaires, CHU de Bordeaux, Hôpital Cardiologique, Inserm U1034 – Biologie des Maladies Cardio-VasculairesORPHANET, INSERM US14, Plateforme Maladies RaresLaboratory of Hematology, Aix Marseille Univ, APHM, INSERM, INRAe, C2VN, La Timone HospitalDepartment of Pediatric Hematology, Immunology and Oncology, La Timone Children’s HospitalCentre de Ressources et de Compétences des Maladies Hémorragiques Constitutionnelles, CHU de StrasbourgCentre de Ressources et de Compétences des Maladies Hémorragiques Constitutionnelles, CHU du Kremlin-BicêtreLaboratoire d’Hématologie, Centre de Référence des Pathologies Plaquettaires, CHU de ToulouseLaboratoire d’Hématologie, CHU Robert DebréLaboratoire d’Hématologie, Centre de Référence des pathologies Plaquettaires, CHU Armand TrousseauDepartment of pediatric hematology, immunology and oncology, Aix Marseille Univ, APHM, INSERM, INRAe, C2VN, La Timone Children’s HospitalService Hématologie Biologique, Centre de ressources et compétences MHEMO, CHU Bicêtre, Assistance Publique-Hôpitaux de Paris, Faculté de médecine Paris SaclayAnesthésiste-Réanimateur Urgentiste - SAMU-SMUR de Lyon - Hôpital Edouard-HerriotPôle Médecine-Urgences, CHU de ToulousePrésident de la Commission des Référentiels de la SFMU (CREF), Chef de Service Adjoint - Service d’Accueil des Urgences/SMUR, CHU Lariboisière, Université de ParisMédecin Urgentiste - Service de Gestion des Crises Sanitaires - Département Qualité Gestion des Risques, Assistance Publique-Hôpitaux de ParisDirection Opérationnelle du Prélèvement et de la Greffe de l’Agence de la Biomédecine (ABM)Direction Opérationnelle du Prélèvement et de la Greffe de l’Agence de la Biomédecine (ABM)Association Française des HémophilesORPHANET, INSERM US14, Plateforme Maladies RaresORPHANET, INSERM US14, Plateforme Maladies RaresAbstract Glanzmann thrombasthenia (GT) is a genetic bleeding disorder characterised by severely reduced/absent platelet aggregation in response to multiple physiological agonists. The severity of bleeding in GT varies markedly, as does the emergency situations and complications encountered in patients. A number of emergency situations may occur in the context of GT, including spontaneous or provoked bleeding, such as surgery or childbirth. While general management principles apply in each of these settings, specific considerations are essential for the management of GT to avoid escalating minor bleeding events. These recommendations have been developed from a literature review and consensus from experts of the French Network for Inherited Platelet Disorders, the French Society of Emergency Medicine, representatives of patients’ associations, and Orphanet to aid decision making and optimise clinical care by non-GT expert health professionals who encounter emergency situations in patients with GT.https://doi.org/10.1186/s13023-023-02787-2
spellingShingle Mathieu Fiore
Janine-Sophie Giraudet
Marie-Christine Alessi
Céline Falaise
Dominique Desprez
Roseline d’Oiron
Sophie Voisin
Marie-Françoise Hurtaud
Hélène Boutroux
Paul Saultier
Cécile Lavenu-Bombled
Gilles Bagou
Xavier Dubucs
Anthony Chauvin
Christophe Leroy
Francine Meckert
François Kerbaul
Nicolas Giraud
Ambra Pühler
Ana Rath
Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disorders
Orphanet Journal of Rare Diseases
title Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disorders
title_full Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disorders
title_fullStr Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disorders
title_full_unstemmed Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disorders
title_short Emergency management of patients with Glanzmann thrombasthenia: consensus recommendations from the French reference center for inherited platelet disorders
title_sort emergency management of patients with glanzmann thrombasthenia consensus recommendations from the french reference center for inherited platelet disorders
url https://doi.org/10.1186/s13023-023-02787-2
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