Wednesday, May 25, 2016

NYSORA - Regional Anesthesia in the Anticoagulated Patient

Adherence to the discussed guidelines should lead to a lesser risk of hemorrhagic complications after regional anesthesia, including spinal hematomas. Likewise, implementation of the guidelines leads to improved vigilance and better care of patients on anticoagulants in whom nerve blocks are performed or entertained. Consensus guidelines, however, should be viewed only as recommendations; specific decisions on nerve blocks in patients on anticoagulants should be individualized. Adequate monitoring, follow-up, and timely treatment should be implemented in patients on anticoagulants who are receiving neuraxial or peripheral nerve blocks (see algorithms on the following pages).

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