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management of oral anticoagulants prior to emergency surgery or with major bleeding: a survey of perioperative practices in north america: communication from the scientific and standardization committees on perioperative and critical care haemostasis and thrombosis of the international society on thrombosis and haemostasis

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wajahatkincsem

Communication from the scientific and standardization committees on perioperative and critical care haemostasis and thrombosis of the international society on thrombosis and haemostasis pinpoint anesthesiologists' present practises and knowledge gaps regarding oral anticoagulant reversal during emergency surgery.

Members of the American Society of Anesthesiology were emailed a 22-question survey with weekly reminders addressing several clinical practise facets of oral anticoagulant reversal during data collection from October to December 2018.

A total of 2315 anesthesiologists responded, with 86% of them based in the United States. 60% of the respondents said that emergency surgery was defined as taking place within four hours of the decision to operate.

Despite advice to the contrary, FFP is frequently used for DOAC and VKA reversal in emergency situations. Institutions must establish recommendations and management algorithms that are influenced by guidelines and based on feedback from the medical professionals who regularly handle these patients.

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