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What is the INR?
M J Troulis1, T W Head, J R Leclerc
1Oral and Maxillofacial Surgery Program at McGill University.
Journal (Canadian Dental Association)
|May 1, 1996
Summary
The International Normalized Ratio (INR) is recommended for monitoring patient coagulation. This review covers safe INR levels for dental procedures and suggests research into hemostatic agents for higher INR patients.
Area of Science:
- Hematology
- Oral Surgery
- Medical Diagnostics
Background:
- International health organizations recommend the International Normalized Ratio (INR) for reporting coagulation levels.
- Accurate monitoring of coagulation is crucial for patient safety, especially before surgical procedures.
Purpose of the Study:
- To discuss the application of INR in monitoring patient coagulation.
- To review established INR level guidelines for performing dental extractions and oral surgeries.
- To highlight the need for research on novel hemostatic agents for managing patients with elevated INR levels.
Main Methods:
- Literature review of recommendations and studies on INR levels and oral surgery.
- Analysis of current guidelines for safe INR thresholds in dental procedures.
Main Results:
- The paper reviews existing recommendations for safe INR levels during dental and oral surgical procedures.
- Current guidelines aim to minimize bleeding risks associated with surgical interventions.
Conclusions:
- Further research is required to evaluate the efficacy of new local hemostatic agents.
- These agents could potentially enable safe management of patients with higher INR levels, reducing hospitalizations and the need for heparin therapy.