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Perioperative Anticoagulation Management.

Lauren D Briete1, William F Towers, Rachel Bone

  • 1Department of Pharmacy, Mississippi Baptist Medical Center, Jackson (Dr Briete); Department of Pharmacy, MD Anderson Cancer Center, Houston, Texas (Dr Towers); Department of Pharmacy, Methodist University Hospital, Memphis, Tennessee (Drs Bone and Cutshall); Department of Cardiothoracic Surgery, Stanford Healthcare, Stanford, California (Mr Nair); Department of Pharmacy, Indiana University Health Arnett Hospital, Lafayette (Dr Steck); and Department of Pharmacy, Mercy Health, Janesville, Wisconsin (Dr Shah).

Critical Care Nursing Quarterly
|February 25, 2022
PubMed
Summary
This summary is machine-generated.

Managing anticoagulation during surgery requires individual risk assessment and careful planning. This review guides nurses on perioperative anticoagulation, including bridging and special populations, addressing scarce clinical evidence.

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Area of Science:

  • Clinical Nursing
  • Pharmacology
  • Surgical Care

Background:

  • Anticoagulation management during operative procedures presents significant clinical challenges.
  • Limited clinical evidence and guidance exist for perioperative anticoagulation, necessitating individualized patient assessment.
  • Nurses require accessible summaries of current literature for effective patient management.

Purpose of the Study:

  • To provide nurses with a comprehensive review of perioperative anticoagulation management.
  • To summarize available literature on risk assessment, laboratory monitoring, and anticoagulation adjustment timing.
  • To offer guidance on bridging strategies and resumption of anticoagulation post-procedure, including special populations.

Main Methods:

  • Systematic review of existing clinical literature on perioperative anticoagulation.
  • Synthesis of evidence regarding assessment, monitoring, and timing of anticoagulation adjustments.
  • Inclusion of data on bridging therapies and management in special patient groups.

Main Results:

  • Perioperative anticoagulation demands individualized assessment, risk stratification, and tailored management plans.
  • Key considerations include laboratory monitoring, appropriate timing for anticoagulation adjustments, and bridging strategies.
  • Guidance is provided for managing anticoagulation in diverse patient populations undergoing procedures.

Conclusions:

  • Effective perioperative anticoagulation management relies on a thorough understanding of individual patient risk and available evidence.
  • Nurses play a crucial role in implementing evidence-based practices for anticoagulation management during the perioperative period.
  • This review serves as a valuable resource for optimizing patient safety and outcomes in this complex clinical scenario.