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Antiplatelet drugs in elective ENT surgery
J R Savage1, A Parmar, P J Robinson
1ENT Department, University of Sherbrooke, Quebec, Canada. Julian.Savage@USherbrooke.ca
Managing patients on oral antiplatelet drugs before ENT surgery requires risk stratification. Recommendations guide the peri-operative care of high-risk and low-risk patients, especially those with intracoronary stents.
Area of Science:
- Otolaryngology
- Cardiology
- Pharmacology
Background:
- Oral antiplatelet drugs are common in patients undergoing elective Ear, Nose, and Throat (ENT) surgery.
- Pre-operative cessation of these medications poses risks, particularly for patients with intracoronary stents.
Purpose of the Study:
- To assess current peri-operative management practices for patients on antiplatelet drugs.
- To provide evidence-based recommendations for managing these patients.
Main Methods:
- An online survey was distributed to the Expert Panel of ENT UK.
- The survey was conducted between January 13 and February 15, 2011.
Main Results:
- A 55% response rate was achieved from 303 contacted members (167 replies).
- 78% of respondents were consultants, indicating expert input.
Conclusions:
- Patients taking antiplatelet drugs can be categorized into high and low-risk groups based on their indication.
- Literature-derived recommendations are provided for managing these distinct patient risk categories.
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