Anaes SAQs · Venous thromboembolism prophylaxis
The anticoagulants and the neuraxial anaesthesia
Final SAQ — the spinal epidural haematoma risk; the ASRA/ESRA intervals (the LMWH 12 h, the fondaparinux 36-42 h, the DOACs 2-3 days, the clopidogrel 7 days); the catheter removal at the trough; the monitoring for the haematoma (the motor block, the severe back pain); and the immediate decompression if suspected.
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ANZCAFRCAABAEDAIC
Prompt
Discuss the timing of the anticoagulants around the neuraxial anaesthesia (the spinal and the epidural) to minimise the risk of the spinal haematoma.
Question
Discuss the timing of the anticoagulants around the neuraxial anaesthesia (the spinal and the epidural) to minimise the risk of the spinal haematoma.
References2ShowHide
- [1]Lohr J, et al. Evolution of the Caprini risk assessment score. J Vasc Surg Venous Lymphat Disord, 2026.PMID 42331469
- [42331470]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.