eMedicine Specialties > Perioperative Care > Perioperative Care

Perioperative Anticoagulation Management: Multimedia

Author: Brian James Daley, MD, MBA, FACS, Associate Program Director, Professor, Department of Surgery, Division of Trauma and Critical Care, University of Tennessee School of Medicine
Coauthor(s): Dana Taylor, MD, FACS, Assistant Professor of Surgery, Graduate School of Medicine, University of Tennessee; Consulting Surgeon, University General Surgeons, PC; Jose Fernando Aycinena, MD, Staff Physician, Department of General Surgery, University of Tennessee Graduate School of Medicine
Contributor Information and Disclosures

Updated: Nov 19, 2009

Multimedia

Perioperative anticoagulation management. Low mol...Media file 1: Perioperative anticoagulation management. Low molecular weight heparin, prophylactic doses, and therapeutic doses.
Perioperative anticoagulation management. Low mol...

Perioperative anticoagulation management. Low molecular weight heparin, prophylactic doses, and therapeutic doses.

Which patients on warfarin should receive heparin...Media file 2: Which patients on warfarin should receive heparin bridging before surgery? Adapted from Cleveland Clinic Journal.
Which patients on warfarin should receive heparin...

Which patients on warfarin should receive heparin bridging before surgery? Adapted from Cleveland Clinic Journal.

Protocol for low molecular weight heparin as a br...Media file 3: Protocol for low molecular weight heparin as a bridge to surgery in patients on warfarin. Adapted from Cleveland Clinic Journal.
Protocol for low molecular weight heparin as a br...

Protocol for low molecular weight heparin as a bridge to surgery in patients on warfarin. Adapted from Cleveland Clinic Journal.

More on Perioperative Anticoagulation Management

References
Further Reading

References

  1. [Best Evidence] Wijeysundera DN, Karkouti K, Rao V, et al. N-acetylcysteine is associated with increased blood loss and blood product utilization during cardiac surgery. Crit Care Med. Jun 2009;37(6):1929-34. [Medline].

  2. Douketis JD, Berger PB, Dunn AS, et al. The perioperative management of antithrombotic therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. Jun 2008;133(6 suppl):299S-339S. [Medline][Full Text].

  3. Turna B, Stein RJ, Smaldone MC, et al. Safety and efficacy of flexible ureterorenoscopy and holmium:YAG lithotripsy for intrarenal stones in anticoagulated cases. J Urol. Apr 2008;179(4):1415-9. [Medline].

  4. Law SK, Song BJ, Yu F, et al. Hemorrhagic complications from glaucoma surgery in patients on anticoagulation therapy or antiplatelet therapy. Am J Ophthalmol. Apr 2008;145(4):736-746. [Medline].

  5. Kearon C. Perioperative management of long-term anticoagulation. Semin Thromb Hemost. 1998;24 suppl 1:77-83. [Medline].

  6. Jaffer AK, Brotman DJ, Chukwumerije N. When patients on warfarin need surgery. Cleve Clin J Med. Nov 2003;70(11):973-84. [Medline].

  7. Madura JA, Rookstool M, Wease G. The management of patients on chronic Coumadin therapy undergoing subsequent surgical procedures. Am Surg. Jul 1994;60(7):542-6; discussion 546-7. [Medline].

  8. Kraai EP, Lopes RD, Alexander JH, Garcia D. Perioperative management of anticoagulation: guidelines translated for the clinician. J Thromb Thrombolysis. Jul 2009;28(1):16-22. [Medline].

  9. Scharf RE. Management of bleeding in patients using antithrombotic agents. Hamostaseologie. Sep 2009;29(4):388-98. [Medline].

  10. Tanaka KA, Key NS, Levy JH. Blood coagulation: hemostasis and thrombin regulation. Anesth Analg. May 2009;108(5):1433-46. [Medline].

  11. American College of Chest Physicians. The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. 2004;126(3 suppl):214S -215S.

  12. American College of Chest Physicians. Proceedings of the American College of Chest Physicians 5th Consensus on Antithrombotic Therapy. 1998. Chest. Nov 1998;114(5 Suppl):439S-769S. [Medline].

  13. Douketis JD. Perioperative anticoagulation management in patients who are receiving oral anticoagulant therapy: a practical guide for clinicians. Thromb Res. Oct 1 2002;108(1):3-13.

  14. Garcia DA, Regan S, Henault LE, et al. Risk of thromboembolism with short-term interruption of warfarin therapy. Arch Intern Med. Jan 14 2008;168(1):63-9. [Medline].

  15. Jafri SM. Periprocedural thromboprophylaxis in patients receiving chronic anticoagulation therapy. Am Heart J. Jan 2004;147(1):3-15. [Medline].

  16. Lanzat M, Danna AT, Jacobson DS. New protocols for perioperative management of podiatric patients taking oral anticoagulants. J Foot Ankle Surg. Jan-Feb 1994;33(1):16-20. [Medline].

  17. O'Donnell M, Kearon C. Perioperative management of oral anticoagulation. Clin Geriatr Med. Feb 2006;22(1):199-213, xi. [Medline].

  18. Rutherford R. Fundamental therapeutic and technical consideration. In: Vascular Surgery. Philadelphia, Pa: WB Saunders Company; 1995.

Further Reading

Related eMedicine Topics


Clinical Trials

Clinical Guidelines

Keywords

perioperative anticoagulation management, anticoagulation medication, antithrombotic therapy, Coumadin therapy, warfarin therapy, deep venous thrombosis, DVT, pulmonary embolism, PE, antithrombin III deficiency, ATIII deficiency, protein C deficiency, protein S deficiency,
 
thromboembolism, venous thromboembolic disease, arterial thromboembolic disease, prosthetic heart valves, atrial fibrillation, congestive cardiomyopathies, mural cardiac thrombus, acute myocardial infarction, mitral valve disease, disseminated intravascular coagulation, vascular grafts, vascular shunts, vascular bypasses

Contributor Information and Disclosures

Author

Brian James Daley, MD, MBA, FACS, Associate Program Director, Professor, Department of Surgery, Division of Trauma and Critical Care, University of Tennessee School of Medicine
Brian James Daley, MD, MBA, FACS is a member of the following medical societies: American Association for the Surgery of Trauma, American College of Chest Physicians, American College of Surgeons, American Medical Association, Association for Academic Surgery, Association for Surgical Education, Eastern Association for the Surgery of Trauma, Shock Society, Society of Critical Care Medicine, Southeastern Surgical Congress, and Tennessee Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Dana Taylor, MD, FACS, Assistant Professor of Surgery, Graduate School of Medicine, University of Tennessee; Consulting Surgeon, University General Surgeons, PC
Dana Taylor, MD, FACS is a member of the following medical societies: American College of Chest Physicians, American College of Surgeons, American Medical Association, Eastern Association for the Surgery of Trauma, and Southeastern Surgical Congress
Disclosure: Nothing to disclose.

Jose Fernando Aycinena, MD, Staff Physician, Department of General Surgery, University of Tennessee Graduate School of Medicine
Jose Fernando Aycinena, MD is a member of the following medical societies: American College of Surgeons and Tennessee Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Marc D Basson, MD, PhD, MBA, Professor, Chair, Department of Surgery, Michigan State University
Marc D Basson, MD, PhD, MBA is a member of the following medical societies: American College of Surgeons and American Gastroenterological Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Donna Leco Mercado, MD, Director of Medical Consultation, Department of Internal Medicine, Baystate Medical Center; Assistant Professor, Tufts University School of Medicine
Donna Leco Mercado, MD is a member of the following medical societies: Sigma Xi
Disclosure: Nothing to disclose.

CME Editor

Paolo Zamboni, MD, Professor of Surgery, Chief of Day Surgery Unit, Chair of Vascular Diseases Center, University of Ferrara, Italy
Paolo Zamboni, MD is a member of the following medical societies: American Venous Forum and New York Academy of Sciences
Disclosure: Nothing to disclose.

Chief Editor

William A Schwer, MD, Professor, Department of Family Medicine, Rush Medical College; Chairman, Department of Family Medicine, Rush-Presbyterian-St Luke's Medical Center
William A Schwer, MD is a member of the following medical societies: American Academy of Family Physicians
Disclosure: Nothing to disclose.

 
 
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