Anticoagulants and low bleeding risk surgery

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Anticoagulants and low bleeding risk surgery. This is when there is a <2% risk of major bleeding within 2 days. Fully referenced neurology checklist.

Approach to low risk surgery

  • This is when there is a <2% risk of major bleeding within 2 days

Low risk procedures: simple dental and skin procedures

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Low risk procedures: abdominal and dental procedures

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Low risk procedures: gastrointestinal endoscopy

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Low risk procedures: others

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References

  1. Spyropoulos AC, Douketis JD. How I treat anticoagulated patients undergoing an elective procedure or surgery. Blood 2012; 120:2954-2962.
  2. Douketis JD. Perioperative management of patients who are receiving warfarin therapy: an evidence-based and practical approach. Blood 2011; 117:5044-5049.
  3. Douketis JD, Spyropoulos AC, Spencer FA, et al. Perioperative management of antithrombotic therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141(2 Suppl):e326S-e350S.

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