2014, Number 1
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Revista Cubana de Anestesiología y Reanimación 2014; 13 (1)
Preoperative control of anti coagulation in patients with valvular prosthesis for non cardiac surgery
de Arazoza HA, Rodríguez RE, Rodríguez SFL, Cruz BR, Fernández MA
Language: Spanish
References: 20
Page: 64-72
PDF size: 184.25 Kb.
ABSTRACT
Introduction: therapies of anti coagulation and anti aggregation are frequently used in cardiopath patients. The anesthetic conduction of these patients has some peculiarities which in case they are not fulfilled they may lead to severe complications or even the death of the patient.
Objective: to revise the anesthetic conduct in front of cardiopath patients and is anti coagulated for elective or emergent non cardiac surgery.
Method: a revision of the characteristics of this patient was carried out, the causes of anti coagulation were analyzed , the causes of anti coagulation were analyzed as well as the causes of anti coagulation and the interruption or not of the anti coagulant treatment ante main, minor, elective or urgent procedures. The intra operative monitoring is detailed and the reinitiating of post surgery anti coagulant treatment.
Conclusion: the success of the non cardiac surgery of the cardiopath patient and takes an anti coagulant treatment is only possible thanks to the knowledge and fulfillment of particularities of this patient. It is not possible to improvise with these cases which explain a great medical legal responsibility for the anesthesiologist.
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