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Management of Periprocedural Anticoagulation (Neural Access or Peripheral Nerve Procedures) Below are guidelines to prevent spinal hematoma following Epidural/Intrathecal/Spinal procedures and perineal
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01
Assess the patient's risk of thromboembolic events and bleeding complications.
02
Determine the procedure's bleeding risk and the required level of anticoagulation.
03
Consider alternative anticoagulation strategies if the patient is at high risk of bleeding.
04
Adjust the anticoagulation regimen based on the patient's renal function and individualized factors.
05
Monitor the patient's coagulation profile regularly during the periprocedural period.
06
Ensure adequate bridging therapy if necessary.
07
Coordinate with the proceduralist and other healthcare providers to optimize the management of anticoagulation.
08
Communicate the plan to the patient and provide proper education regarding the management of periprocedural anticoagulation.

Who needs management of periprocedural anticoagulation?

01
Patients on long-term anticoagulant therapy (e.g., warfarin, direct oral anticoagulants) who require invasive procedures.
02
Patients with a history of atrial fibrillation, venous thromboembolism, or mechanical heart valves.
03
Patients requiring cardiac or vascular surgical interventions.
04
Patients at high risk of thromboembolic events (e.g., those with hypercoagulable states, artificial heart valves).
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Management of periprocedural anticoagulation involves coordinating the use of anticoagulants before and after medical procedures to reduce the risk of bleeding or thrombosis.
Healthcare providers such as doctors, nurses, and pharmacists are required to document and file information about the management of periprocedural anticoagulation.
The management of periprocedural anticoagulation form should be completed with details of the patient's current anticoagulant therapy, planned procedures, and recommendations for perioperative management.
The purpose of management of periprocedural anticoagulation is to ensure the safe and effective use of anticoagulant therapy before, during, and after medical procedures.
Information such as the patient's current anticoagulant regimen, INR levels, planned procedures, and recommendations for perioperative anticoagulation management must be reported.
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