| Perioperative transient ischemic attack caused by the cessation of warfarin. | |
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MedLine Citation:
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PMID: 21195993 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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This paper describes the circumstances of a patient who had been receiving long-term warfarin treatment, but ceased it prior to surgical operation, sustained a transient ischemic heart attack post-operatively, which eventuated in delayed extubation and locked-in syndrome. For patients at low risk of perioperative bleeding, anticoagulation with oral vitamin K antagonist can probably be able to maintain the therapeutic range (INR ≤ 2.0) extreme. For patients with a high risk of bleeding, the international normalized ratio (INR) should be kept ≤ 1.5. Within this range, patients at low risk of thrombosis can discontinue warfarin treatment for 2-5 days pre-operatively; patients at high risk for thrombosis can stop warfarin but should probably be treated with intravenous or subcutaneous heparin when the INR is subtherapeutic. |
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Authors:
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Sing-Ong Lee; Min-Jia Li; Hsin-Ming Ho; Chih-Cheng Chien; Shu-Lin Guo |
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Publication Detail:
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Type: Journal Article Date: 2010-12-22 |
Journal Detail:
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Title: Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists Volume: 48 ISSN: 1875-452X ISO Abbreviation: Acta Anaesthesiol Taiwan Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2011-01-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101214918 Medline TA: Acta Anaesthesiol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 188-90 Citation Subset: IM |
Copyright Information:
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Taiwan Society of Anesthesiologists, Publised by Elsevier Taiwan LLC, All rights reserved. |
Affiliation:
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Department of Anesthesiology, Cathay General Hospital, Taipei, Taiwan, R.O.C. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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