Anticoagulantes, Antiplaquetarios y sus implicaciones en cirugía: una revisión de la literatura
Anticoagulants, Anti-platelets, and their implications in Surgery: A Literature review
Prensa méd. argent; 106 (10), 2020
Publication year: 2020
All health care providers should be aware of the impact of bleeding disorders on their patients during
any surgical procedures. The knowledge of the mechanisms of hemostasis and optimized management are very important. Initial recognition of a bleeding disorder, in such patients with a systemic
pathologic process, may occur in surgical practice. The surgical treatment of those patients might be
complicated during the surgery due to the use of anticoagulant and/or antiplatelet medications raises a
challenge in the daily practice of surgical professionals. Adequate hemostasis is critical for the success
of any surgical procedure because bleeding problems can give rise to complications associated with
important morbidity-mortality. Besides, prophylactic, restorative, and surgical care of patients with
any bleeding disorders is handled skillfully by practitioners who are well educated regarding the pathology, complications which could arise, and surgical options associated with these conditions. The
purpose of this paper is to review common bleeding disorders and their effects on the surgical aspect.
Many authors consider that patient medication indicated for the treatment of background disease
should not be altered or suspended unless so indicated by the prescribing physician. Local hemostatic
measures have been shown to suffice for controlling possible bleeding problems resulting from surgery.