Management of antithrombotic therapy in patients undergoing regional anesthesia

• Main Authors: Maja Šoštarič, Alenka Mavri, Nina Vene, Peter Poredoš, Nada Kodrič
• Format: Article
• Language: English
• Published: Slovenian Medical Association 2009-11-01
• Series: Zdravniški Vestnik
• Online Access: http://vestnik.szd.si/index.php/ZdravVest/article/view/389

Th e use of antithrombotic drugs increases the risk for the perioperative complications with regional anesthesia. Th e spinal epidural haematoma is a rare but devastating complication which can leave long term consequences. It is necessary to evaluate the risk and benefi t of the regional anesthesia with every patient individually. To avoid the risk we have to strictly follow the antihrombotic therapy indication and dosages of antithrombotic drugs. Also the guidelines on administrating the last dosage of the antithrombotic drug before and its fi rst dosage aft er the scheduled surgery have to be followed. In the article the updated Slovenian guidelines are presented.