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[Anaesthesia and thromboembolic disease]

[Anaesthesia and thromboembolic disease]

Authors :
Juan V, Llau
María Luisa, Sapena
Cristina, López Forte
Raquel, Ferrandis
Source :
Medicina clinica. 131
Publication Year :
2008

Abstract

Currently, pharmacological thromboprophylaxis is frequently required in patients undergoing surgery, due to the high risk of deep venous thrombosis in the perioperative period. The administration of these anticoagulant agents (in Spain, usually low molecular weight heparins or fondaparinux, and in future, probably also the new oral anticoagulants dabigatran and rivaroxaban) may conflict with regional anesthetic techniques, in which maintaining hemostatic integrity is essential. Therefore, safety protocols have been designed that allow thromboprophylaxis to be administered with optimal effectiveness and anesthetic techniques to be performed with maximal safety; these protocols are based on the drug used, as well as on the dose and time of administration. The present chapter reviews the details related to these issues.

Details

ISSN :
00257753
Volume :
131
Database :
OpenAIRE
Journal :
Medicina clinica
Accession number :
edsair.pmid..........3c473a70a3c86bb11471457c59ac0177