Perioperative management of patients receiving long-term antithrombotic therapy. Clinical practice recommendations of the national “Federation of Anesthesiologists and Reanimatologists”
Year: 2021
Type: article
Abstract: The review presents the methodological recommendations of the Federation of Anesthesiologists and Resuscitators for the management of patients receiving long-term antithrombotic therapy, revised in 2021. The classification of complications and the degree of hemorrhagic risk, stratification of perioperative thromboembolic risk are presented. Taking into account modern concepts, the principles of interruption and resumption of antithrombotic, anticoagulant and antiplatelet therapy are described. Approaches to the emergency interruption of antithrombotic therapy during urgent surgical interventions, including emergency reversion of the effects of drugs received by the patient, are presented. The features of the appointment and changes in the tactics of antithrombotic therapy depending on the thromboembolic and hemorrhagic risk in such concomitant diseases and conditions as the presence of artificial heart valves, atrial fibrillation, ischemic stroke, myocardial infarction, coronary stenting are described. A separate section is devoted to thrombohemorrhagic safety when performing regional anesthesia against the background of antithrombotic therapy. Indications, contraindications and limitations for regional anesthesia in the context of antithrombotic therapy are given. Criteria for the quality of the provided medical care are given.
Source: Annals of critical care
Authors: Igor B. Zabolotskikh, M. Yu. Kirov, V. S. Afonchikov, A. Yu. Bulanov, E. V. Grigoryev, S. V. Grigoryev, A. I. Gritsan, M. N. Zamyatin, I. S. Kurapeev, K. M. Lebedinskii, V. V. Lomivorotov, A. Yu. Lubnin, A. M. Ovechkin, V. I. Potievskaya, E. V. Roitman, S. V. Sinkov, V. V. Subbotin, R. V. Shadrin, E. M. Shulutko
Institutions: Kuban State Medical University, Northern State Medical University, S. M. Kirov Military Medical Academy, Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine, Kemerovo State Medical University, Krasnoyarsk State Medical University, National Medical and Surgical Center named after N.I. Pirogov, North-Western State Medical University named after I.I. Mechnikov, V.A. Negovsky Scientific Research Institute of General Reanimatology, Novosibirsk State University, Meshalkin National Medical Research Center, Burdenko Neurosurgery Institute, Sechenov University, Moscow Clinical Scientific Center, Russian Medical Academy of Continuous Professional Education
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3213748976