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September 11, 2014Current Opinion in Anaesthesiology

New antithrombotic agents in the ambulatory setting

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Why the study?

How should new antithrombotic agents be managed perioperatively in patients presenting for procedures in an ambulatory setting?

Population

Patients taking new antiplatelet or anticoagulant agents presenting for surgical or other procedures in an…

Design

Review

Authors

NGN. M. GibbsWWWilliam M. WeightmanSWStephen A. Watts

Discussion

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Overview

Requires individualized perioperative risk assessment for ambulatory procedures; leaves optimal protocols open pending robust trials.

Structured PICO

How should new antithrombotic agents be managed perioperatively in patients presenting for procedures in an ambulatory setting?

P
Population
Patients taking new antiplatelet or anticoagulant agents presenting for surgical or other procedures in an ambulatory setting
I
Intervention
Perioperative management (continuing or ceasing) of new antithrombotic agents

Perioperative management of new antithrombotic agents requires individualized, multidisciplinary assessment of thrombotic and bleeding risks due to a lack of robust clinical studies.

Limitations

  • Few clinical studies to guide management

Cite This Study

Gibbs et al. (2014) studied this question.

synapsesocial.com/papers/6a7610b7cd662f67b2fbd7ddhttps://doi.org/10.1097/aco.0000000000000127
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The perioperative management of new direct oral anticoagulants: a question without answers2013 · 79 citations
  2. 2Emerging antithrombotic drugs for acute coronary syndrome2013 · 2 citations
  3. 3Novel anticoagulants and laboratory testing2013 · 48 citations
  4. 4Guideline on the management of bleeding in patients on antithrombotic agents2012 · 230 citations
  5. 5Platelet-Function Testing in Patients Undergoing Neurovascular Procedures: Caught between a Rock and a Hard Place2012 · 31 citations