Regional Anesthesia in Patients on Anticoagulation Therapies-Evidence-Based Recommendations.
Anticoagulants
Anticoagulation therapies
Evidenced-based practice
Neuraxial anesthesia
Regional anesthesia
Journal
Current pain and headache reports
ISSN: 1534-3081
Titre abrégé: Curr Pain Headache Rep
Pays: United States
ID NLM: 100970666
Informations de publication
Date de publication:
29 Jul 2019
29 Jul 2019
Historique:
entrez:
31
7
2019
pubmed:
31
7
2019
medline:
16
1
2020
Statut:
epublish
Résumé
Anticoagulant use among patients is prevalent and increasing. It is important for anesthesiologists to be aware of patients on anticoagulants while performing regional anesthesia. 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.
Identifiants
pubmed: 31359193
doi: 10.1007/s11916-019-0805-x
pii: 10.1007/s11916-019-0805-x
doi:
Substances chimiques
Anticoagulants
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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