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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Warfarin
A.12. What recommendations for placement and removal of the epidural catheter would you make if this patient is on antiplatelet or anticoagulant therapy or if thromboprophylaxis is planned?
B.1. How would you assess this patient preoperatively?
B.1. What is dabigatran (Pradaxa)? How is its effect measured? How far in advance of elective surgery should it be stopped? Can its effect be reversed?
B.2. How should his anticoagulation be managed during ECT?
C.21. What concentrated factors and hemostatic agents are available for bleeding patients?
C.5. This patient is to be heparinized intraoperatively, and anticoagulation might be continued postoperatively. Is this a contraindication to the preoperative placement of either an epidural or intrathecal catheter? What if the patient is receiving anticoagulants in the preoperative period?
C.9. Two hours later, estimated blood loss (EBL) is approximately 2 L and the patient has been resuscitated with 3 units of packed red blood cells (pRBCs), 229 mL intraoperative cell salvage (cell saver), and 500 mL albumin in addition to 4 L crystalloid. The surgeon says the field is still "oozy" and there is ongoing blood loss. What are your concerns for resuscitation moving forward? How will you guide your resuscitation?
D.8. How would you treat posttransplant bleeding?
Welchol
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