Anest. intenziv. Med. 2016;27(6):367-374

Regional anaesthesia and haemostasis-modifying drugs - latest recommendationsAnaesthesiology - Review articles

M. Jelínek
Anesteziologicko-resuscitační klinika Fakultní nemocnice u svaté Anny v Brně

Performing regional anesthesia in patients receiving anticoagulants or antiplatelet medications includes higher risk of bleeding complications. Spinal epidural haematoma after neuraxial puncture represents the most serious complication. Many world-wide and national societies of anaesthesiologists have published their guidelines on the management of antithrombotic therapy in relation to regional anaesthesia. The aim of this article is to compare the current guidelines.

Keywords: regional anaesthesia; neuraxial anaesthesia; spinal anaesthesia; epidural anaesthesia; anticoagulation; antiplatelet medications; guidelines; spinal haematoma

Received: July 26, 2016; Accepted: August 15, 2016; Published: December 1, 2016  Show citation

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Jelínek M. Regional anaesthesia and haemostasis-modifying drugs - latest recommendations. Anest. intenziv. Med. 2016;27(6):367-374.
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    References

    1. Tryba, M. Epidural regional anesthesia and low molecular heparin: Pro. Anasthesiol. Intensivmed Notfallmed Schmerzther, 1993, 28, 3, p. 179-181. Go to original source... Go to PubMed...
    2. Moen, V., Dahlgren, N., Irestedt, L. Severe neurological complications after central neuraxial blockades in Sweden 1990-1999. Anesthesiology, 2004, 101, 4, p. 950-959. Go to original source... Go to PubMed...
    3. Kalichman, L., Cole, R., Kim, D. H. Spinal stenosis prevalence and associated symptoms: the Framingham Study. Spine J., 2009, 9, 7, p. 545-550. Go to original source... Go to PubMed...
    4. Vandermeulen, E. P., Van Aken, H., Vermylen, J. Anticoagulants and spinal-epidural anesthesia. Anesth. Analg., 1994, 79, 6, p. 1165-1177. Go to original source... Go to PubMed...
    5. Horlocker, T. T., Wedel, D. J., Rowlingson, J. C. et al. Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). Reg. Anesth. Pain Med., 2010, 35, 1, p. 64-101. Go to original source...
    6. Gogarten, W., Vandermeulen, E., Van Aken, H., Kozek, S., Llau, J. V., Samama, C. M. European Scoeity of Anaesthesiology Regional anaesthesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology. Eur. J. Anaesthesiol., 2010, 27, 12, p. 999-1015. Go to original source... Go to PubMed...
    7. Breivik, H., Bang, U., Jalonen, J. et al. Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine. Acta Anaesthesiol. Scand., 2010, 54, 1, p. 16-41. Go to original source... Go to PubMed...
    8. Harrop-Griffiths, W., Cook, T., Gill, H., Hill, D., Ingram, M., Makris, M., Malhotra, S., Nicholls, B., Popat, M., Swales, H., Wood, P. Regional anaesthesia and patients with abnormalities of coagulation: the Association of Anaesthetists of Great Britain & Ireland The Obstetric Anaesthetists' Association Regional Anaesthesia UK. Anaesthesia, 2013, 68, 9, p. 966-972. Go to original source... Go to PubMed...
    9. Narouze, S., Benzon, H. T., Provenzano, D. A., Buvanendran, A., De Andres, J., Deer, T. R., Rauck, R., Huntoon, M. A. Interventional spine and pain procedures in patients on antiplatelet and anticoagulant medications: guidelines from the American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation Society, the North American Neuromodulation Society, and the World Institute of Pain. Reg. Anesth. Pain Med., 2015, 40, 3, p. 182-212. Go to original source... Go to PubMed...
    10. Steinfeldt, T., Nimphius, W., Werner, T., Vassiliou, T., Kill, C., Karakas, E., Wulf, H., Graf, J. Nerve injury by needle nerve perforation in regional anaesthesia: does size matter? Br. J. Anaesth., 2010, 104, 2, p. 245-253. Go to original source... Go to PubMed...
    11. Steinfeldt, T., Poeschl, S., Nimphius, W., Graf, J., Zoremba, M., Mueller, H. H., Wulf, H., Dette, F. Forced needle advancement during needle-nerve contact in a porcine model: histological outcome. Anesth. Analg., 2011, 113, 2, p. 417-420. Go to original source... Go to PubMed...
    12. Neal, J. M., Brull, R., Chan, V. W., Grant, S. A., Horn, J. L., Liu, S. S., McCartney, C. J., Narouze, S. N., Perlas, A., Salinas, F. V., Sites, B. D., Tsui, B. C. The ASRA evidence-based medicine assessment of ultrasound-guided regional anesthesia and pain medicine: Executive summary. Reg. Anesth. Pain Med., 2010, 35, 2 Suppl., p. S1-9. Go to original source... Go to PubMed...

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