Related Experiment Video
Updated: Mar 9, 2026
07:58
Electrophysiological Methods to Assess Peripheral Pain Block in an Anesthetized Rat
Published on: November 21, 2025
231
[Neuraxial anaesthesia and NOACs]
1Klinik für Anästhesie, Operative Intensiv- u. Palliativmedizin, Städtisches Klinikum Solingen gGmbH, Gotenstraße 1, 42653, Solingen, Deutschland. standl@klinikumsolingen.de.
Medizinische Klinik, Intensivmedizin Und Notfallmedizin
|January 12, 2017
Summary
Neuraxial blockade offers benefits for surgical patients with cardiovascular risks. Careful management of new oral anticoagulants (NOACs) is essential for safe neuraxial anesthesia and improved postoperative outcomes.
Area of Science:
- Anesthesiology
- Cardiology
- Surgical Care
Background:
- Cardiovascular comorbidities are common in surgical patients, impacting outcomes.
- Neuraxial blockades can reduce perioperative complications.
- New oral anticoagulants (NOACs) necessitate careful management during neuraxial procedures.
Purpose of the Study:
- To highlight the advantages of neuraxial anesthesia and analgesia in high-risk cardiovascular patients.
- To outline the perioperative management of NOACs in this patient group.
Main Methods:
- Literature review of PubMed (last 25 years).
- Presentation of the German S1 guideline on neuraxial anesthesia and antithrombotic medication.
Main Results:
- Thoracic epidural anesthesia/analgesia improves outcomes in high-risk surgical patients.
- Adherence to DGAI guidelines and interdisciplinary consultation are crucial for managing NOACs and preventing complications.
Conclusions:
- Neuraxial blockades are feasible and beneficial for cardiovascular risk patients on NOACs.
- Following guidelines ensures improved postoperative outcomes.
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