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Table 2 Items of the perioperative checklist

From: Perioperative management of patients on direct oral anticoagulants

THE PERIOPERATIVE CHECKLIST

 

➢ 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

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