TY - JOUR
T1 - Anticoagulation in elective surgery.
AU - Black, Joyce M.
PY - 2004
Y1 - 2004
N2 - Several categories of patients may be receiving anticoagulation therapy and require surgery. Many patients take cardioprotective aspirin or warfarin for atrial fibrillation, the presence of a mechanical heart valve, prior thromboembolism, a documented left ventricular thrombus, or a history of venous thromboembolism with or without a pulmonary embolism. Inpatients may be receiving injectable forms of anticoagulation to reduce risk of deep venous thrombosis or for other conditions, such as atrial fibrillation. Patients receiving any type of anticoagulation present a problem when they require surgery because the interruption of anticoagulant therapy increases their risk of thromboembolism and stroke (Schanbacher & Bennett, 2000). Rational decisions regarding the appropriateness of perioperative anticoagulation depend on individual patient factors and can only be made when the risk of perioperative thromboembolism is balanced against the risk of perioperative bleeding.
AB - Several categories of patients may be receiving anticoagulation therapy and require surgery. Many patients take cardioprotective aspirin or warfarin for atrial fibrillation, the presence of a mechanical heart valve, prior thromboembolism, a documented left ventricular thrombus, or a history of venous thromboembolism with or without a pulmonary embolism. Inpatients may be receiving injectable forms of anticoagulation to reduce risk of deep venous thrombosis or for other conditions, such as atrial fibrillation. Patients receiving any type of anticoagulation present a problem when they require surgery because the interruption of anticoagulant therapy increases their risk of thromboembolism and stroke (Schanbacher & Bennett, 2000). Rational decisions regarding the appropriateness of perioperative anticoagulation depend on individual patient factors and can only be made when the risk of perioperative thromboembolism is balanced against the risk of perioperative bleeding.
UR - http://www.scopus.com/inward/record.url?scp=2442556945&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=2442556945&partnerID=8YFLogxK
U2 - 10.1097/00006527-200401000-00005
DO - 10.1097/00006527-200401000-00005
M3 - Review article
C2 - 15085658
AN - SCOPUS:2442556945
SN - 0741-5206
VL - 24
SP - 8-11; quiz 12-13
JO - Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses
JF - Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses
IS - 1
ER -