Hospital Procedures Consultants

Guidelines for Antiplatelet and Anticoagulation Discontinuation before a Lumbar Puncture

More Articles – Anticoagulation, antiplatelets, epidural hematoma, Featured, HPC update, Lumbar Puncture
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This blog summarizes the guidelines by the European Society of Anesthesiology (ESA), the American Society of Regional Anesthesia (ASRA) and the Association of British Neurologists regarding the timing of antiplatelet and anticoagulation discontinuation before a lumbar puncture.  The following table…
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Periprocedural Bleeding Risk for Thrombocytopenia, Coagulopathy, Antiplatelets and Anticoagulation

More Articles – Anticoagulation, antiplatelets, central lines, Chest tube, chest tubes, coagulopathy, Featured, HPC update, Lumbar Puncture, Paracentesis, procedures, Thoracentesis
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This blog summarizes the 2019 Society of Interventional Radiology (SIR) for Periprocedural Management of Image-guided Procedures with regards to thrombocytopenia, coagulopathies, antiplatelets and anticoagulation.  The SIR guidelines are summarized as follows: Anticoagulation with heparin, LMWH, fondaparinux, argatroban, warfarin, DOAC, clopidogrel, ticagrelor…
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Anticoagulation is Likely Beneficial for Portal Vein Thrombosis in Cirrhosis

More Articles – Anticoagulation, Cirrhosis, HPC Updates, portal vein thrombosis
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The optimal treatment of portal vein thrombosis in patients with cirrhosis has been a topic of debate for quite some time.  To this date there have been no large prospective, randomized controlled trials to help guide management in these patients. …
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An Update on the Treatment of Venous Thromboembolic Disease

More Articles – Anticoagulation, Cancer, Deep vein thrombosis, DVT, HPC Updates, Updated guidelines, Venous Thromboembolic Disease, VTD
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Every four years the American College of Chest Physicians (ACCP) disseminates a new set of guidelines on the evaluation and management of venous thromboembolic disease (VTE). The ACCP just released its updated guidelines for the treatment of VTE and I…
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New Oral Anticoagulants are as effective as Warfarin for VTE with less major bleeding

More Articles – Anticoagulation, Deep venous thrombosis, HPC Updates, Pulmonary Embolism, venous thromboembolism
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The new direct target-specific oral anticoagulants (TSOACs; dabigatran, rivaroxaban, apixaban, and edoxaban) have been compared with vitamin K antagonists (VKAs; warfarin and similar agents) for acute venous thromboembolism (VTE) in six recent phase III clinical trials encompassing more than 27,000…
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Direct-Acting Oral Anticoagulants Have a Lower Mortality than Warfarin for Nonvalvular Afib

More Articles – Anticoagulation, atrial fibrillation, HPC Updates, stroke
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Compared with warfarin, the new agents significantly reduced all-cause and vascular mortality. The new direct-acting oral anticoagulants (DOACs; dabigatran, rivaroxaban, apixaban, and edoxaban) have been found to be noninferior to vitamin K antagonists in clinical trials of stroke prevention in…
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