Perioperative hemostatic management of patients treated with vitamin K antagonists.

  title={Perioperative hemostatic management of patients treated with vitamin K antagonists.},
  author={Jerrold H Levy and Kenichi A Tanaka and Wulf Dietrich},
  volume={109 5},
Clinicians, including anesthesiologists, surgeons, and intensivists, are frequently called on to correct coagulopathy in patients receiving oral anticoagulation therapy. Before elective surgery, anticoagulation reversal may be undertaken over several days by discontinuing warfarin or vitamin K treatment, but rapid correction is required in an emergency. European and American guidelines recommend prothrombin complex concentrates (PCCs) for anticoagulation reversal in patients with life… CONTINUE READING


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