Antiplatelet and anticoagulation medications and the surgical patient

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• 作者：Brian K. Yorkgitis ; Christina Ruggia-Check ; Jay E. Dujon
• 关键词：Antiplatelet ; Anticoagulation ; Bleeding ; Thrombosis ; Novel oral anticoagulants
• 刊名：The American Journal of Surgery
• 出版年：January, 2014
• 年：2014
• 卷：207
• 期：1
• 页码：95-101
• 全文大小：384 K

文摘

Background

Acute coronary syndrome affects more than 750,000 Americans per year, and antiplatelet agents are the cornerstones of treatment. Atrial fibrillation affects 2.4 million patients in the United States, and venous thromboembolism occurs in 1 to 2 per 1,000 adults per year. Anticoagulants are commonly prescribed to affected patients. Surgeons are commonly called upon to care for patients taking medications that affect normal coagulation. It is important that the surgical community has a fundamental understanding of these agents鈥?pharmacology, which may impact patients鈥?clinical course.

Methods

A review of recent literature on pharmacologic agents that affect coagulation was performed.

Results

A number of medications that alter normal coagulation were reviewed in this article including their pharmacologic properties and reversal strategies.

Conclusions

There are a variety of medications that affect a patient鈥檚 coagulation ability, including many newer agents on the market. This review provides surgeons with the knowledge needed to assist in caring for individuals receiving these drugs.