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Perioperative management of women on oral anticoagulants and antiplatelet agents undergoing gynaecological procedures
Author(s) -
Goh Edwina,
Barker Victoria,
Lee Pei Ling,
Eden Dewi,
Davies Omubo,
Sahu Banchhita
Publication year - 2020
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/tog.12650
Subject(s) - medicine , perioperative , warfarin , intensive care medicine , anticoagulant , thrombosis , anesthesia , surgery , atrial fibrillation
Key content The number of women attending gynaecological services who are taking oral anticoagulants and antiplatelet agents is increasing. Direct oral anticoagulants are becoming increasingly popular and offer an alternative to warfarin. Knowledge of the use of anticoagulants in the perioperative period is imperative to provide optimal care and ensure patient safety. It is essential that health professionals practising gynaecology, at all levels, keep up to date to reduce unnecessary cancellations, delays in treatment and risks of thrombosis and bleeding.Learning objectives To understand the management of women on oral anticoagulant and antiplatelet agents undergoing elective and emergency gynaecological procedures. To appreciate the importance of assessing patient‐ and procedural‐related risks of thrombosis and bleeding. To review commonly used anticoagulant and antiplatelet agents.