Dr. Krishnan has recommended the use of platelet-rich plasma (PRP) to enhance your healing. PRP is a component for your own blood that contains growth factors known to stimulate bone and soft tissue healing. It is processed from your own blood in a sterile fashion and is therefore safe from transmission of diseases from others.
To process PRP, about 20 to 60 mL of blood (about ⅓ to ½ of a coffee cup) will be drawn from a vein using an aseptic technique. The risks associated with venipuncture are extremely small; however, there is a remote possibility that this invasive procedure may cause fainting, nausea, phlebitis, bruising or nerve damage. Your blood will be processed
for about 15 minutes in a device approved by the US Food and Drug Administration (FDA). It will then be activated and added to your surgical site to assist healing. To activate PRP, two drops of a calcium chloride solution are mixed with a clotting agent called thrombin, which is obtained from a commercial company that uses bovine (cowderived) thrombin. When used to activate PRP, bovine thrombin is perfectly safe. However, your doctor can activate your PRP by alternative means at your request.
I, ________________, voluntarily consent to the use of PRP as part of a wound-healing treatment plan. In order for my doctor to carry out this procedure, I consent to furnish 20 to 60 mL of my blood so that it can be processed in an FDAapproved device. After my blood is processed, a platelet concentrate will be produced. This material will be applied to my wound for the potential benefit of enhanced healing.
I understand that PRP is applied topically and may cause some temporary local burning or irritation in some patients. I also understand that furnishing my blood will involve a needle stick into a vein in my arm or another location. While drawing blood involves minimal risk, there is a remote possibility that furnishing my blood may cause nausea, vomiting, fainting, dizziness, hematoma formation, bruising, blood loss or infection. I may also experience discomfort from the needle stick at the puncture site.
I understand that PRP treatment is only part of my wound-healing program and that following all of the requirements of the treatment program is critical to the healing process. I also understand that the application of PRP has the potential to enhance and speed up my would healing but is not a guarantee of healing
"*" indicates required fields