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Management of oral anticoagulation in the surgical patient
Author(s) -
Latona Jilani,
Rahman Atifur
Publication year - 2015
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.13130
Subject(s) - medicine , intensive care medicine , vitamin k , perioperative , dabigatran , surgery , warfarin , atrial fibrillation
New oral anticoagulants ( NOACs ) have recently emerged as an alternative for vitamin K antagonists and are now widely available. Although there is good evidence for their roles in the appropriate clinical settings, so far no reversal agent is currently available. Likewise, there is no readily available laboratory test to quantify drug levels but coagulation assays may provide qualitative information about the presence of some NOACs . We aim to review the current literature regarding the optimal management of oral anticoagulation in the perioperative setting.