WebDec 8, 2024 · After device implantation and once bleeding has subsided, unfractionated heparin (UFH) is generally used in the postoperative period as a bridge to warfarin and aspirin to mitigate thrombotic risk. WebDabigatranÆ anticoagulant (other than warfarin or parenteral anticoagulant) • Discontinue dabigatran and give the first dose of the other anticoagulant at the time the next dose of dabigatran would have been taken Warfarin Æ dabigatran • Discontinue warfarin and initiate dabigatran when INR < 2.0 From parenteral anticoagulation Æ dabigatran
BRIDGING ANTICOAGULATION PROTOCOL FOR …
WebRivaroxaban Warfarin When going from rivaroxaban to warfarin, consider the use of parenteral anticoagulant as a bridge (eg, start heparin infusion/enoxaparin and … Webo Post-procedure bridging with prophylactic LMWH until bleeding risk minimized then transition back to therapeutic dose LMWH o Post-procedure bridging with prophylactic LMWH only o Resumption of warfarin alone with no LMWH/IV UFH - Restart warfarin with 15-20% increase of previous maintenance dose & retest INR within 3-4 days imdg on sds
Warfarin perioperative management - Thrombosis Canada
WebBRIDGING ANTICOAGULATION – PROTOCOL FOR MANAGEMENT OF ANTICOAGULATION IN THE PERIOPERATIVE PERIOD cont’d PROTOCOLS Standard Anticoagulants i.e. warfarin PROTOCOL 1: -Cease warfarin 5 days prior (i.e. omit 4 doses) -Check INR one day pre-op, if > 1.5 administer vitamin K (phytomenadione) 2mg orally … WebThe landmark BRIDGE (Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation) trial provided high-quality evidence that a simple interruption of warfarin in the average atrial fibrillation patient undergoing an elective procedure or surgery is noninferior to bridging therapy for efficacy and superior to bridging therapy in ... WebOct 10, 2016 · The necessity of warfarin bridging was best described in a 1992 article comparing heparin bridging versus no bridging among patients receiving warfarin for a DVT. 1 Within the first 7 days of initiating warfarin, patients without a heparin bridge were much more likely to have an extension of their DVT or a new PE versus those with a … imdg refresher training