Guidelines for Managing Anticoagulation During Surgery
Published: Jan 14, 2024
Managing anticoagulation during surgery involves following specific guidelines to reduce risks.
Contents
Overview of Anticoagulation Management
Anticoagulation management in surgery aims to minimize both thromboembolic and bleeding risks. Guidelines are based on evidence from clinical studies and involve assessing risks, deciding on medication adjustments, and planning for safe surgical procedures.
Steps in Managing Anticoagulation
The process includes estimating bleeding and thromboembolic risks, determining the timing for stopping anticoagulants, and considering bridging strategies if necessary. Each patientβs situation is unique, and guidelines provide a framework for making informed decisions.

Using Bridging Anticoagulation
Bridging involves using a short-acting anticoagulant during a pause in the usual medication. Itβs used selectively for patients with high risk of clots who need surgery. The decision to use bridging is guided by established protocols and individual patient factors.
Frequently Asked Questions
They provide a framework to minimize risks during surgery.
To balance the risks of bleeding and clot formation.
They help doctors make informed decisions tailored to each patient.
For patients at high risk of clots undergoing surgery.
Key Takeaways
Following guidelines ensures safe and effective anticoagulation management during surgery.
References
- Douketis JD, Spyropoulos AC, Murad MH, et al. Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline. Chest 2022; 162:e207.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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