Perioperative management of patients who are receiving warfarin therapy: an evidence-based and practical approach.
نویسنده
چکیده
2 Case Presentations Case No. 1: A 69-year old woman with chronic atrial fibrillation and hypertension requires a dental restoration procedure that will need local anesthetic injections. Case No. 2: A 77-year old, 100-kg, male with chronic atrial fibrillation, stable coronary artery disease, hypertension and a prior transient ischemic attack that occurred two years ago after warfarin interruption for colon polypectomy now requires colon resection for stage I adenocarcinoma of the bowel.
منابع مشابه
Perioperative management of antithrombotic therapy.
The management of patients who require temporary interruption of warfarin therapy because of elective surgery or another invasive procedures is clinically important because of the increasing prevalence of patients who are receiving warfarin and the availability of low-molecular-weight heparins, which facilitate out-of-hospital perioperative anticoagulation. The two main issues that need to be c...
متن کاملManagement of patients who are receiving warfarin or a new oral anticoagulant and require urgent or emergency surgery.
An increasing number of patients are receiving long‑term oral anticoagulant therapy and the availability of new oral anticoagulants (OACs), which are easier to use than warfarin, will further expand the population of anticoagulated patients. As a consequence, an increasing number of patients will need perioperative anticoagulant management because of elective or nonelective surgery or procedure...
متن کاملPerioperative anticoagulation management in patients who are receiving oral anticoagulant therapy: a practical guide for clinicians.
The management of patients who require temporary interruption of oral anticoagulant therapy because of surgery or other invasive procedures is a clinically important topic because of the increasing prevalence of patients who are receiving oral anticoagulants and the availability of low-molecular-weight heparins (LMWHs), which allow out-of-hospital perioperative anticoagulation. The optimal mana...
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IMPORTANCE The decision whether to discontinue antiplatelet and/or anticoagulant medications before a facial plastic surgical procedure is a complicated and multifactorial process that involves weighing the risk of perioperative thromboembolic complications with bleeding-related complications. OBJECTIVE To determine the complication rates in patients who undergo a range of facial plastic surg...
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Perioperative management of antithrombotic therapy is a situation that occurs frequently and requires consideration of the patient, the procedure, and an expanding array of anticoagulant and antiplatelet agents. Preoperative assessment must address each patient's risk for thromboembolic events balanced against the risk for perioperative bleeding. Procedures can be separated into those with a lo...
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ورودعنوان ژورنال:
- Blood
دوره 117 19 شماره
صفحات -
تاریخ انتشار 2011