 This study is a multi-center, open-label, randomized controlled pilot trial with blinded outcome assessment. In this trial evaluating feasibility, the investigators will randomly allocate ICU patients who have an elevated INR and require an invasive procedure to receive either a FP transfusion or no transfusion. Patients will be followed for bleeding complications and adverse transfusion reactions for 48 hours following the invasive procedure, and for mortality for the duration of their hospital stay. All bleeding complications will be recorded using a validated bleeding score and adjudicated by blinded assessors. 