Clopidogrel (Plavix) 5-7 days CONTRAINDICATED Without LD: immediate With LD: 6 hours The ASRA Guidelines recommend delaying 24 hours for the first dose postoperatively and 24 hours after the last dose for epidural catheter removal
American Society of Regional Anesthesiology (ASRA) guidelines recommend seven days interval for the epidural placement after clopidogrel administration
Apr 1, 2018, 00:00 AM by ASRA
The patient was continued on enoxaparin therapy to prevent thromboembolic complications while cessation of antiplatelet therapy and enoxaparin
It provides local pain relief with small doses of pain medicine given into the space that is just outside the spinal cord
Spinal anesthesia was utilized in 397 (46
The development of protocols to prevent perioperative Venous Thromboembolism (VTE) and the introduction of increasingly potent antithrombotic drugs have resulted in concerns of increased risk of neuraxial bleeding
Any procedure involving For the purpose of this topic, neuraxial anesthesia refers to spinal, epidural, or combined spinal-epidural procedures that may be performed for surgical anesthesia or perioperative analgesia
13 The routine indications and contraindications for spinal anesthesia apply when dealing with PUI or COVID-19 positive patients
In 2018, ASRA partnered with National Partnership for Maternal Safety (NPMS) and the Society for Obstetric Anesthesia and Perinatology (SOAP) to create the 4th edition of the ASRA guidelines on regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy
11 Neuraxial infectious complications (epidural abscess and meningitis) range from 0 infections in over 70,000 epidural and spinal anesthetics 12 to 1 abscess per 1,930 epidural anesthetics
Neuraxial anesthesia, such as intrathecal or epidural anesthesia, is viewed as a high-risk intervention with limited outcome benefit in most patients