Key result
New bleeding risk score stratifies procedural and patient-specific risk for interventional pain practitioners.
Why the study?
The degree of interventional pain physicians' expertise in coagulation and bleeding risk assessment is unclear despite the rarity of reported bleeding complications in interventional pain medicine.
The Overall Risk of Significant Bleeding score is proposed as a tool to help interventional pain practitioners individualize bleeding risk assessment and improve patient safety.
Answers are grounded in this paper and cite their sources.
May support individualized bleeding risk assessment in interventional pain procedures; leaves open prospective validation before clinical adoption.
The rarity of published bleeding complications with respect to the practice of interventional pain medicine suggests two possibilities: techniques are being performed in a manner to minimize bleeding or the process of hemostasis is very forgiving. Hence, bleeding complications may increase if techniques are not performed with due skill or if the process of hemostasis is impaired. Interventional pain physicians may be well acquainted with the technical aspects of procedures, but the degree of their expertise in the field of coagulation is unclear. This monograph will review coagulation physiology, coagulation pathophysiology, common anticoagulants, and minor and major bleeding complications associated with interventional pain and regional anesthetic procedures. This manuscript will present a tool to help stratify the risk of bleeding with specific techniques and specific hemostatic abnormalities. The Overall Risk of Significant Bleeding score may help interventional pain practitioners in their individualized assessment of bleeding risk. If used collectively, this tool may help improve patient safety and data collection, with respect to bleeding complications.
No takes yet. Share an insight, caveat, or question.
P. Prithvi Raj (2004) conducted a review in Bleeding risk in interventional pain practice. Interventional pain procedures and anticoagulation was evaluated. The Overall Risk of Significant Bleeding score was presented as a tool to help interventional pain practitioners stratify bleeding risk based on technique-specific and patient-specific factors.
Synapse has enriched 10 related papers. Consider them for comparative context: