FFP and Cryptoprecipitate both are the sources of fibrinogen used during secondary PPH in order to maintain >100mg/dl of fibrinogen due to blood loss.
However topic of discussion still remains , which one is a better source for fibrinogen transfusion… ??
FFP :- containing all the clotting factors can be used during chronic bleeding conditions.
Whereas
Cryptoprecipitate :- have limited factors like factor VIII, XIII and vWF again used for chronic bleeding disease.
Why do u think that doctors prefer Cryptoprecipitate over FFP ??
Since the major criteria to control secondary PPH is stopping the bleeding first and FFP has all the factors required …!!
Doctors prefer cryoprecipitate over FFP in secondary PPH :-
Generally when it need to avoid large volume transfusion.
It also conrtibutes and essential for control bleeding.
And isolates the abnormal low levels of fibrinogen.
The choice between cryoprecipitate and FFP depends on the specific coagulation factor deficiencies and the clinical scenario.
In PPH, if there’s a significant drop in fibrinogen levels, cryoprecipitate might be preferred to rapidly restore fibrinogen.
FFP might be used more broadly for correcting multiple coagulation factor deficiencies. Guidelines and institutional protocols often guide the specific use.