May 22, 1997New England Journal of Medicine
Management of Anticoagulation before and after Elective Surgery
Key result
There is currently no consensus on the appropriate perioperative management of anticoagulation for patients receiving long-term warfarin therapy who require elective surgery.
Why the study?
What is the appropriate perioperative management of anticoagulation for patients receiving long-term warfarin therapy undergoing elective surgery?
Population
Patients receiving long-term warfarin therapy who require elective surgery
Design
Review
Authors
Discussion
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Member takes
Implication
No consensus on perioperative warfarin management cautions against uniform protocols; leaves open evidence-based strategies for elective surgery patients.
Structured PICO
What is the appropriate perioperative management of anticoagulation for patients receiving long-term warfarin therapy undergoing elective surgery?
P
Population
Patients receiving long-term warfarin therapy (for indications such as atrial fibrillation, mechanical heart valve, or venous thromboembolism) who require elective surgery
I
Intervention
Perioperative management of anticoagulation (interruption and resumption of warfarin therapy)
This review discusses the perioperative management of anticoagulation for patients on long-term warfarin therapy undergoing elective surgery, an area where clinical consensus has historically been lacking.
Cite This Study
Kearon et al. (1997) conducted a review in Patients receiving long-term warfarin therapy needing elective surgery. Perioperative management of anticoagulation was evaluated. There is currently no consensus on the appropriate perioperative management of anticoagulation for patients receiving long-term warfarin therapy who require elective surgery.