Your scary medical video of the day (not graphic)
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@brenda said in Your scary medical video of the day (not graphic):
Other anticoagulants work elsewhere in the clotting scheme. Dabigatran (Pradaxa) was just coming into common use when I retired, and it's not on my radar any more. Ditto Rivaroxaban (Xarelto). Both have to be discontinued before elective surgery for at least 48-72 hours. If it's an emergency that can't wait, you do what you can. I hated those drugs.
And Eliquis?
Same thing.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3904756/
Planning for elective surgery or invasive procedures should involve balancing the intervention-associated bleeding risk and thrombotic risk associated with anticoagulant interruption in each individual. A “safe” residual drug level of apixaban for surgery is presently unknown, and no test has been correlated with bleeding risk. As such, there is currently no known threshold at which apixaban patients’ bleeding risk are able to be comparable to non-apixaban treated patients [27].
In general, apixaban should be discontinued 2 to 3 days prior to elective surgery or invasive procedures [5], as outlined below and in Figure 2.
