From: Perioperative management of patients on direct oral anticoagulants
THE PERIOPERATIVE CHECKLIST | |
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➢ The thrombo-embolic risk of the patient | |
➢ The bleeding risk of the patient | |
➢ Timing of stopping DOAC before an invasive procedure: • The bleeding risk of the invasive procedure • The elimination half-life of the DOAC used depending on the patient’s ° renal function, liver function, and co-medication | |
➢ Specific considerations for some invasive procedures: ° Neuraxial anesthesia ° Atrial fibrillation ablation | |
➢ When should bridging therapy with heparin be suggested? | |
➢ Resuming a DOAC after an invasive procedure or surgery |