Review perioperative anticoagulation management of geriatric patients.
Geriatric patient in a perioperative hospital setting.
Patient undergoing invasive procedure currently taking warfarin for history of thromboembolism.
1. List 3 considerations in perioperative anticoagulation management of geriatrics patients.
2. Give examples of low, moderate, and high risk thromboembolic states/conditions.
3. Explain general anticoagulation perioperative management for each level of risk.
- Dossett LA, et al. Prevalence and implications of preinjury warfarin use: an analysis of the National Trauma Databank. Archives of Surgery. 146(5):565-70, May 2011. http://www.ncbi.nlm.nih.gov/pubmed/?term=prevalence+and+implications+of+preinjury+warfarin+use
- Bonville DJ, et al. Impact of preinjury warfarin and antiplatelet agents on outcomes of trauma patients. Surgery. 150(4):861-8, Oct 2011 http://www.ncbi.nlm.nih.gov/pubmed/22000201
- Heit JA, et al. Perioperative management of the chronically anticoagulated patient. Journal of Thrombolysis. 12:81-7. 2001. http://www.ncbi.nlm.nih.gov/pubmed/11711693
- Dunn AS, Turpie AG. Perioperative management of patients receiving oral anticoagulants: a systematic review. Arch Internal Med. 163(8):901-8. Apr 2003. http://www.ncbi.nlm.nih.gov/pubmed/12719198
- Jafri S. Periprocedural thromboprophylaxis in patients receiving chronic anticoagulation therapy. Am Heart Journal. 147(1): 1-15. 2004. http://www.ncbi.nlm.nih.gov/pubmed/14691412
- Guyton AC, Hall JE. Textbook of Medical Physiology. St. Louis, MO: Saunders. 11th Edition. 2005.
Users are free to download and distribute Geriatric Fast Facts for informational, educational, and research purposes only. Citation: John Petronovich, Kathryn Denson MD, Bambi Wessel - Fast Fact #10: Anticoagulation in the Geriatric Surgical Patient. February 2012.
Disclaimer: Geriatric Fast Facts are for informational, educational and research purposes only. Geriatric Fast Facts are not, nor are they intended to be, medical advice. Health care providers should exercise their own independent clinical judgment when diagnosing and treating patients. Some Geriatric Fast Facts cite the use of a product in a dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used.