[Should we give up combining spinal anesthesia and anticoagulants?].

Cahiers d'anesthesiologie Pub Date : 1996-01-01
C M Samama
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引用次数: 0

Abstract

The risk of lumbar haematoma potentially increased by the association of regional anaesthesia and anticoagulant treatment has been widely debated. Few data are available in order to estimate the level of this risk, which is probably very low. However, even if it is now clear that regional anaesthesia is not potent enough to prevent postoperative deep vein thrombosis (DVT), a partial decrease in the DVT rate between 30 and 40% has been observed. Furthermore, no randomized double blind study has established the usefulness of the preoperative injection of heparin. Accordingly, when it is possible, it is best to avoid the preoperative injection and to start heparin treatment postoperatively. This solution is safe and effective.

我们是否应该放弃联合使用脊髓麻醉和抗凝血剂?
腰椎血肿的风险可能会因区域麻醉和抗凝治疗而增加,这一点一直存在广泛的争议。几乎没有可用的数据来估计这种风险的水平,这种风险可能非常低。然而,即使现在很清楚区域麻醉不足以有效预防术后深静脉血栓形成(DVT),但已观察到DVT发生率部分下降30%至40%。此外,没有随机双盲研究证实术前注射肝素的有效性。因此,在可能的情况下,最好避免术前注射肝素,并在术后开始肝素治疗。这种方法安全有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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