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Regional anaesthesia and antithrombotic agents ...

Copyright European Society of Anaesthesiology. Unauthorized reproduction of this article is anaesthesia and antithrombotic agents :recommendations of the European Societyof AnaesthesiologyWiebke Gogarten, Erik Vandermeulen, Hugo Van Aken, Sibylle Kozek, Juan V. Llau and Charles M. SamamaBackground and objectivesPerforming neuraxial anaesthesiain patients receiving antithrombotic drugs is controversial due tothe increased risk of spinal epidural haematoma. Strictadherence to the recommended time intervals between theadministration of anticoagulants, neuraxial blockade and theremoval of catheters is thought to improve patient safety andreduce the risk of haematoma. Appropriate guidelines have beenprepared by a number of national societies ofanaesthesiologists, but they do not have universal introduction of new anticoagulants together with recentreports of stent thrombosis in patients with perioperativecessation of antiplatelet drugs have considerably broadened theissue and made revision necessary.

Copyright © European Society of Anaesthesiology. Unauthorized reproduction of this article is prohibited. Regional anaesthesia and antithrombotic agents:

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