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Author Topic: Antiplatelet drugs and Central neuraxial bock  (Read 4309 times)

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jafo1964

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Antiplatelet drugs and Central neuraxial bock
« on: January 20, 2011, 02:35:44 AM »
A 70 year old man with fracture Neck of Femur is scheduled for surgery

If the patient was on Aspirin 75 mg OD

1. Would you postpone the surgery
2. If no, why
3. If yes by how many days and why

If the patient is on Clopidogrel 75 mg OD

 1. Would you postpone the surgery
2. If no, why
3. If yes by how many days and why


Remember that prolonged immobilization comes with its own set of problems

regs
jafo
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neelam nalge

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Re: Antiplatelet drugs and Central neuraxial bock
« Reply #1 on: March 02, 2011, 11:53:32 PM »
hello',
    I was waiting to read replies for this.For I am always in the same dilemma while doing this type of
    patients .
       I avoid epidural & give single shot spinal with 26g needle.Do arthroscopies in femoral block.Real problem is hip surgery in this pt when spinal is problem due to associated cardiac problems.
        would like to know ur protocol.
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