Summary
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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