Descarga: Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy
Archivo: guias/tvp/Full Guideline – Regional 2018.pdf
Evolving standards for the prevention of perioperative venous thromboembolism (VTE) and the introductionof increasingly potent antithrombotic medications have resulted in concerns regarding the heightened risk of neuraxial bleeding. Furthermore, societies and organizations seeking to address these concerns through guidelines in perioperative management have issued conflicting recommendations. In response to these patient safety issues and the need for a more international approach to management, the American Society of Regional Anesthesia and Pain Medicine (ASRA), in conjunction with the European Society of Anaesthesiology (ESA), convened its Fourth Consensus Conference on Regional Anesthesia and Anticoagulation. Portions of the material presented here were published in the 1998, 2003, and 2010 ASRA Consensus Documents as well as the 2010 ESA Guidelines.1–8 The information has been updated to incorporate data available since the time of its publication. Based on limited clinical and animal data, these guidelines do not define standard of care. They are not intended to replace clinicaljudgmentasappliedtoaspecificpatientscenario.Variances fromrecommendationscontainedinthis documentmaybe acceptable based on the judgment of the responsible anesthesiologist. Importantly, the authors consistently tended toward conservative recommendations. The consensus statements are designed to encourage safe and quality patient care, but cannot guarantee a specific outcome. As with any clinical guideline recommendation,thesearesubjecttorevisionasknowledgeofspecificcomplications advances.
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