From: Perioperative management of patients on direct oral anticoagulants
THE PERIOPERATIVE CHECKLIST | Â |
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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 |  |