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https://repository.monashhealth.org/monashhealthjspui/handle/1/30342| Title: | Antiplatelet drugs, anticoagulants and elective surgery. | Authors: | Tran H. ;Merriman E. | Institution: | (Merriman) Monash Medical Centre, Australia (Tran) Monash Medical Centre, The Alfred Hospital, Australian Centre for Blood Diseases, Monash University, Australia | Issue Date: | 8-Oct-2012 | Copyright year: | 2011 | Publisher: | National Prescribing Service (3/2 Phipps Close, Deakin ACT 2602, Australia) | Place of publication: | Australia | Publication information: | Australian Prescriber. 34 (5) (pp 139-143), 2011. Date of Publication: October 2011. | Abstract: | There is an increased risk of bleeding when patients taking anticoagulant or antiplatelet drugs require surgery. This risk must be balanced against the risk of harm if treatment is stopped. For many minor procedures aspirin or warfarin can be continued. Patients having non-cardiac surgery may be able to continue aspirin, but clopidogrel should be stopped unless there is a high risk of thrombosis. Patients taking warfarin may require bridging anticoagulation around the time of major surgery. This involves replacing the warfarin with unfractionated or low molecular weight heparin. Consultation with a cardiologist is particularly recommended if a patient with a coronary stent requires surgery. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.18773/austprescr.2011.074 | ISSN: | 0312-8008 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/30342 | Type: | Article | Subjects: | *elective surgery epidural anesthesia eye surgery heart surgery human postoperative hemorrhage/co [Complication] postoperative hemorrhage/pc [Prevention] postoperative hemorrhage/su [Surgery] postoperative hemorrhage/th [Therapy] postoperative thrombosis/co [Complication] postoperative thrombosis/dt [Drug Therapy] postoperative thrombosis/pc [Prevention] risk benefit analysis spinal anesthesia surgical risk unspecified side effect/si [Side Effect] venous thromboembolism/dt [Drug Therapy] *venous thromboembolism/co [Complication] *venous thromboembolism/dt [Drug Therapy] *venous thromboembolism/pc [Prevention] acetylsalicylic acid/ae [Adverse Drug Reaction] acetylsalicylic acid/dt [Drug Therapy] *anticoagulant agent/ae [Adverse Drug Reaction] *anticoagulant agent/dt [Drug Therapy] *anticoagulant agent/po [Oral Drug Administration] *antithrombocytic agent/ae [Adverse Drug Reaction] *antithrombocytic agent/dt [Drug Therapy] clopidogrel/ae [Adverse Drug Reaction] clopidogrel/dt [Drug Therapy] dabigatran/dt [Drug Therapy] dabigatran/po [Oral Drug Administration] heparin/dt [Drug Therapy] low molecular weight heparin/dt [Drug Therapy] rivaroxaban/dt [Drug Therapy] rivaroxaban/po [Oral Drug Administration] warfarin/ae [Adverse Drug Reaction] warfarin/dt [Drug Therapy] warfarin/po [Oral Drug Administration] heart atrium fibrillation/dt [Drug Therapy] artery thrombosis/dt [Drug Therapy] *artery thrombosis/co [Complication] *artery thrombosis/dt [Drug Therapy] *artery thrombosis/pc [Prevention] article bleeding disorder/si [Side Effect] blood transfusion cardiologist consultation coronary stent dental surgery dermatological procedures drug substitution drug withdrawal eye surgery heart atrium fibrillation / drug therapy heart surgery human postoperative hemorrhage / complication / prevention / surgery / therapy postoperative thrombosis / complication / drug therapy / prevention risk benefit analysis spinal anesthesia surgical risk unspecified side effect / side effect venous thromboembolism / drug therapy consultation cardiologist blood transfusion bleeding disorder / side effect article *artery thrombosis / *complication / *drug therapy / *prevention artery thrombosis / drug therapy *venous thromboembolism / *complication / *drug therapy / *prevention coronary stent dental surgery dermatological procedures drug substitution drug withdrawal *elective surgery epidural anesthesia |
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