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Periprocedural Anticoagulation: How to Minimize Bleeding

Infographic by Dr. Kerstin de Wit

#Periprocedural #Perioperative #Anticoagulation #Bleeding #Management #Hematology
Periprocedural Anticoagulation ... How to Minimize Bleeding ... Periprocedural #Perioperative ... #Anticoagulation ... #Hematology
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... patients on chronic anticoagulation ... per treatment table ... and procedural bleeding ... with a very low bleeding
Managing warfarin INR

Warfarin dosage must be individualized according to the patient's response to the drug, and
Over-anticoagulation ... lead to severe bleeding ... #medications #table ... #decisionaid #cardiology ... #hematology #warfarin
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
the patient’s perioperative ... Anticoagulation ... - what is the bleeding ... one post op Cardiology ... risk discussions, perioperative
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Cataract surgery • Dermatologic ... placement (if bridging anticoagulation ... #Perioperative ... #Procedures #Table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
during Delivery • Stable ... Period • Breast-feeding ... suggest prophylactic anticoagulation ... diagnosis #management #cardiology