By vgreene, 2 August, 2016 Perform heparin (anti-Xa activity) testing immediately pre-op to ensure complete drug elimination
By vgreene, 2 August, 2016 Hold1 apixaban 2 days before procedure (last dose 3 days before procedure)4
By vgreene, 2 August, 2016 If nonhigh bleeding-risk surgery1 planned: Obtain anticoagulation expert input; if also on antiplatelet tx, manage based on agent2
By vgreene, 2 August, 2016 If also on antiplatelet tx, collaborate w/ surgical team, based on particular drug6
By vgreene, 2 August, 2016 If nonhigh bleeding-risk surgery1 planned: Hold dabigatran2,3 & reinitiate 48h post-procedure;4 LMWH bridging not indicated; consult expert if VTE event was recent; warning w/ epidural catheters/neuraxial anesthesia; if also on antiplatelet tx, manage bas
By vgreene, 2 August, 2016 Avoid DOACs w/ epidural catheters or neuraxial anesthesia due to bleeding risk
By vgreene, 2 August, 2016 Contact proceduralist/surgeon for specific indications/questions in individual pt clinical scenarios
By vgreene, 2 August, 2016 Hold2 dabigatran 4 days before procedure (last dose 5 days before procedure)
