Abstract
The American Society of Regional Anesthesia and Pain Medicine, along with other anesthesiology societies, have periodically released updated consensus guidelines for regional and neuraxial anesthesia in patients receiving antithrombotic or thrombolytic therapies. The fourth and latest edition of these guidelines, published in 2018, details updates to guidelines based on the latest evidence, including recommendations for newer antithrombotic therapies. In this chapter, we review the epidemiology, diagnosis and management of epidural hematomas and latest recommendations for each antithrombotic class with regard to (1) holding medication prior to neuraxial procedures, (2) management of indwelling neuraxial catheters, (3) holding medication prior to catheter removal, and (4) subsequent resumption of antithrombotic therapy.
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References
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Maurer, A.J., Le-Wendling, L. (2022). Neuraxial Block: ASRA Guidelines on Implications of Anticoagulants and Platelet Inhibitors. In: Banik, R.K. (eds) Anesthesiology In-Training Exam Review. Springer, Cham. https://doi.org/10.1007/978-3-030-87266-3_16
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DOI: https://doi.org/10.1007/978-3-030-87266-3_16
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