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[Current Management of Patients with Proximal Femur Fractures Receiving Antiplatelet and Anticoagulant Therapy].
Acta Chir Orthop Traumatol Cech
November 2024
II. ortopedicko-traumatologická klinika Lekárskej fakulty Univerzity Komenského a Univerzitnej nemocnice Bratislava.
Article Synopsis
- * The review emphasizes that patients on antiplatelet therapy (like ASA and clopidogrel) don't need to stop their medication before surgery, while those on warfarin should receive vitamin K for reversal to facilitate timely surgery.
- * Direct oral anticoagulants should be paused 24-48 hours pre-surgery, with possible use of antidotes in critical cases, and neuraxial anesthesia can be safely used under certain conditions regarding anticoagulant status.
Applying the Suprainguinal Approach of Fascia Iliaca Compartment Block for Surgical Anesthesia in a Patient Undergoing Emergency Femoral Thrombectomy: A Case Report.
Cureus
August 2023
2nd Department of Anesthesiology, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
We present the first documented case of achieving surgical anesthesia for a vascular surgery using the suprainguinal approach of the fascia iliaca compartment block (SFICB), in a patient with severe comorbidities from the cardiovascular system. More specifically, a male elderly patient with a history of cardiac amyloidosis, severe aortic stenosis, and coronary artery disease, was in need of emergent thrombectomy due to acute lower limb ischemia. During the evaluation of this patient, general and neuraxial anesthesia were both considered.
View Article and Find Full Text PDFStop clopidogrel before neuraxial anesthesia in elderly patients with femoral fracture: should we rely on time?
Minerva Anestesiol
April 2022
Unit of Anesthesia and Intensive Care, Emergency Department and Critical Care Area, Santa Maria Annunziata Hospital, Bagno a Ripoli, Florence, Italy.
Platelet aggregometry for hip fracture surgery in patients treated with clopidogrel: a pilot study.
J Clin Monit Comput
June 2022
Anesthesia and Intensive Care Unit, Grande Ospedale Metropolitano, Reggio Calabria, Italy.
Surgery for hip fractures should be performed within 48 h from patient's admission. However, several factors including chronic antiplatelet therapy could delay operation. Among the totality of patients taking clopidogrel, up to 30% are resistant to the drug and have a normal platelets reactivity.
View Article and Find Full Text PDFUneventful epidural catheter removal in a patient with postoperative acute coronary syndrome receiving emergency triple antithrombotic therapy: a case report.
Braz J Anesthesiol
October 2021
National and Kapodistrian University of Athens, Aretaieio Hospital, Department of Anesthesiology, Athens, Greece.
Background And Objectives: Neuraxial hematoma is a rare complication of the epidural technique which is commonly used for high quality postoperative pain relief. In case of urgent initiation of multiple antithrombotic therapy, the optimal timing of epidural catheter removal and need for treatment modification may be quite challenging. There are no specific guidelines and published reports are scarce.
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