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Synapse
March 16, 2026Regional Anesthesia & Pain Medicine1 citations

Epidural catheters and continuous heparin infusions: navigating complex clinical decisions with incomplete information

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MGMarc GhabachLELisa M. EinhornKVKevin E. Vorenkamp

Key Points

  • To evaluate the implications of using epidural catheters in patients on antithrombotic or thrombolytic therapy.
  • Reviewing evidence-based guidelines from the American Society of Regional Anesthesia and Pain Medicine.
  • Analyzing recommendations for managing patients receiving heparin infusions during regional anesthesia.
  • Identified best practices for using epidural catheters in the context of anticoagulation therapy.
  • Highlighted risks and benefits associated with procedural decisions in these patients.

Abstract

It is with great interest that we read the Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (fifth edition ).11 The fifth edition (published January 2025, updated September

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Cite This Study

Ghabach et al. (2026) studied this question.

synapsesocial.com/papers/69b79e398166e15b153ab396https://doi.org/10.1136/rapm-2025-107427
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