Perioperative anaesthetic management of anticoagulation
Keywords:
indications and drugs used for anticoagulation, perioperative management of anticoagulation, bridging, general and regional anaesthesiaAbstract
Patients who present for surgery while taking anticoagulants present challenges related to the underlying condition that requires anticoagulation as well as requiring a careful assessment of the risks of bleeding and thrombosis. Commonly used drugs include low-molecular-weight heparins (LMWH), direct-acting oral anticoagulants (DOACs) and warfarin. Patients taking warfarin who have a high risk of thrombosis and are undergoing surgery with a high risk of bleeding require bridging therapy with LMWH.
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