服用抗凝药物患者的区域麻醉

IF 0.2 Q4 ANESTHESIOLOGY
William L Malein, Calum RK Grant
{"title":"服用抗凝药物患者的区域麻醉","authors":"William L Malein,&nbsp;Calum RK Grant","doi":"10.1016/j.mpaic.2024.08.015","DOIUrl":null,"url":null,"abstract":"<div><div>Managing perioperative anticoagulation and antiplatelet medication is a daily challenge for anaesthetists. Balancing the risks of surgical bleeding and complications of regional anaesthesia must be weighed against time to theatre and the risk of perioperative thrombotic events. The anaesthetist is particularly concerned about compressive vertebral canal haematomas (VCH) which may occur following spinal, epidural or para-vertebral techniques. There is also concern about bleeding complications following peripheral nerve blockade. This article attempts to put the risk of these complications into context and references key international guidelines on peri-procedural management of the broad range of anticoagulant and antiplatelet medication in current use.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 11","pages":"Pages 762-767"},"PeriodicalIF":0.2000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Regional anaesthesia in patients taking anticoagulant drugs\",\"authors\":\"William L Malein,&nbsp;Calum RK Grant\",\"doi\":\"10.1016/j.mpaic.2024.08.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Managing perioperative anticoagulation and antiplatelet medication is a daily challenge for anaesthetists. Balancing the risks of surgical bleeding and complications of regional anaesthesia must be weighed against time to theatre and the risk of perioperative thrombotic events. The anaesthetist is particularly concerned about compressive vertebral canal haematomas (VCH) which may occur following spinal, epidural or para-vertebral techniques. There is also concern about bleeding complications following peripheral nerve blockade. This article attempts to put the risk of these complications into context and references key international guidelines on peri-procedural management of the broad range of anticoagulant and antiplatelet medication in current use.</div></div>\",\"PeriodicalId\":45856,\"journal\":{\"name\":\"Anaesthesia and Intensive Care Medicine\",\"volume\":\"25 11\",\"pages\":\"Pages 762-767\"},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Anaesthesia and Intensive Care Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1472029924001917\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029924001917","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

管理围术期抗凝和抗血小板药物是麻醉师每天面临的挑战。在平衡手术出血风险和区域麻醉并发症的同时,还必须权衡手术时间和围术期血栓事件的风险。麻醉师尤其关注脊柱、硬膜外或椎旁技术后可能出现的压迫性椎管血肿(VCH)。外周神经阻滞术后的出血并发症也令人担忧。本文试图说明这些并发症的风险,并参考了目前使用的各种抗凝剂和抗血小板药物围手术期管理的主要国际指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Regional anaesthesia in patients taking anticoagulant drugs
Managing perioperative anticoagulation and antiplatelet medication is a daily challenge for anaesthetists. Balancing the risks of surgical bleeding and complications of regional anaesthesia must be weighed against time to theatre and the risk of perioperative thrombotic events. The anaesthetist is particularly concerned about compressive vertebral canal haematomas (VCH) which may occur following spinal, epidural or para-vertebral techniques. There is also concern about bleeding complications following peripheral nerve blockade. This article attempts to put the risk of these complications into context and references key international guidelines on peri-procedural management of the broad range of anticoagulant and antiplatelet medication in current use.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.50
自引率
0.00%
发文量
152
期刊介绍: Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信