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Regional Anesthesia in Patients on Anticoagulation Therapies-Evidence-Based Recommendations.
Kaye, Alan David; Brunk, Andrew J; Kaye, Aaron J; Renschler, Jordan S; Hart, Brendon M; Anandi, Prathima; Patil, Shilpa; Cornett, Elyse M; Fox, Charles J.
Afiliação
  • Kaye AD; Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA.
  • Brunk AJ; Department of Anesthesiology, LSU Health New Orleans, 1542 Tulane Ave, New Orleans, LA, 70112, USA.
  • Kaye AJ; Medical University of South Carolina, Charleston, SC, 29425, USA.
  • Renschler JS; Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 701123, USA.
  • Hart BM; Department of Anesthesiology, LSU Health Sciences Center, 1901 Perdido St., New Orleans, LA, 70112, USA.
  • Anandi P; Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA.
  • Patil S; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
  • Cornett EM; Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA.
  • Fox CJ; Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. ecorne@lsuhsc.edu.
Curr Pain Headache Rep ; 23(9): 67, 2019 Jul 29.
Article em En | MEDLINE | ID: mdl-31359193
PURPOSE OF REVIEW: Anticoagulant use among patients is prevalent and increasing. It is important for anesthesiologists to be aware of patients on anticoagulants while performing regional anesthesia. RECENT FINDINGS: In recent years, the FDA has approved many new anticoagulants. With new drugs coming to the market, new side effect profiles should be considered when treating patients, especially when using regional anesthesia. Both ASRA and European agencies have laid out recommendations regarding anticoagulant use and neuraxial/regional techniques. Regarding newer anticoagulants, the guidelines for discontinuation prior to neuraxial injection are based on pharmacokinetics, including half-life duration for each drug. While each clinical scenario requires an individualized approach, general guidelines can serve as a starting point to help with anesthetic planning and potentially improve patient safety in this evolving field.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Medicina Baseada em Evidências / Anestesia por Condução / Anticoagulantes Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Medicina Baseada em Evidências / Anestesia por Condução / Anticoagulantes Tipo de estudo: Diagnostic_studies / Etiology_studies / Guideline / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article