Perioperative management of chronic anticoagulation in orthopaedic surgery.
Summary of "Perioperative management of chronic anticoagulation in orthopaedic surgery."
The orthopaedic patient on chronic anticoagulation therapy is at risk of thromboembolism and hemorrhage in the perioperative period. To establish the most effective anticoagulation regimen, patients should be stratified according to the risk of arterial or venous thromboembolism. Timing of surgery, thromboembolic risk, and bleeding risk should be considered when developing an anticoagulation protocol. Retrievable inferior vena cava filters may be a viable alternative to bridging therapy in patients at high risk of venous thromboembolism and/or bleeding.
Affiliation
Journal Details
This article was published in the following journal.
Name: The Journal of the American Academy of Orthopaedic Surgeons
ISSN: 1067-151X
Pages: 729-38
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21119139
- DOI: http://dx.doi.org/
Medical and Biotech [MESH] Definitions
Perioperative Nursing
Nursing care of the surgical patient before, during, and after surgery.
Perioperative Care
Interventions to provide care prior to, during, and immediately after surgery.
Postoperative Care
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Preoperative Care
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
Management Quality Circles
Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.
PubMed Articles
Stone Management for the Patient on Anticoagulation.
Use of chronic anticoagulation has increased recently, leading to more surgical intervention on patients taking chronic anticoagulation. This review discusses anticoagulation and the management of uro...
BACKGROUND: The data on the perioperative risk of both thromboembolism and hemorrhage for patients receiving chronic oral anticoagulation who undergo colorectal surgery are sparse. In addition, it is...
BACKGROUND: There has been a significant increase in the volume of urological patients on daily anticoagulation therapy requiring invasive elective urological procedures. AIMS: We sought to assess whe...
PURPOSE: Patients on chronic oral anticoagulation can be challenging to manage in the perioperative period. METHODS: Review of patients on warfarin undergoing elective abdominal colon and rectal opera...
Clinical Trials
Outcome Following Orthopaedic Surgery
By investigating the long-term functional status of patients who have undergone various types of orthopaedic surgery we will have a basis for devising guidelines for future patients and su...
The purpose of this study is to determine if an intravenous (IV) antiplatelet medication is as safe and effective at preventing clot formation in your stented artery as compared in people...
The purpose of this study is to help us learn what the best amount of fluid is that patients should receive during pancreas surgery. Patients will receive either the liberal fluid amount f...
Perioperative Coagulation Management in Cardiac Surgery.
Cardiac surgery is bleeding requiring transfusion surgery . The haemorrhagic is related to the need to use high doses of anticoagulants to prevent thrombosis of blood . Moreover, this typ...
Postoperative Canadian Oral Anticoagulation Self-Management (Post-COAGS) Trial
This study will measure the efficacy and safety of an early postoperative anticoagulation self-management program, using the CoaguChek S device, in patients undergoing mechanical valve rep...