Reversión de la anticoagulación en cirugía de urgencia.

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    • Abstract:
      The perioperative management of patients receiving antithrombotic therapy based on vitamin K antagonists (VKA) or new oral anticoagulants (NACOs), represent a dilemma in daily practice for anesthesiologists because of the multiple circumstances we face in such clinical scenarios in emergency surgeries. Today, millions of patients worldwide use anticoagulants for the prevention or treatment of a variety of entities particularly from cardiovascular causes. According to recent epidemiological studies in the US, more than 250,000 patients annually admitted to emergency surgeries are under this therapeutic (1) scheme. If not treated properly, the potential risk of bleeding is imminent, increasing mortality. It is of great importance to acknowledge the evidence and provide strategies for the approach of perioperative management. [ABSTRACT FROM AUTHOR]
    • Abstract:
      El manejo perioperatorio de los pacientes recibiendo terapia antitrombótica a base de antagonistas de vitamina K (AVK) o nuevos anticoagulantes orales (NACOs), representan un dilema en la práctica diaria de los anestesiólogos, ya que en múltiples circunstancias nos enfrentaremos al abordaje de tales escenarios clínicos en cirugías de urgencia. En la actualidad, millones de pacientes en todo el mundo utilizan anticoagulantes para la prevención o tratamiento de una gran variedad de entidades, principalmente de origen cardiovascular. De acuerdo con estudios epidemiológicos recientes en EUA, más de 250,000 pacientes anualmente ingresan a cirugías de urgencia bajo tales esquemas terapéuticos(1), de no tratarse de manera correcta, el riesgo potencial de sangrado es inminente, incrementando la mortalidad, por lo cual es de gran relevancia conocer las directrices y proporcionar estrategias de abordaje para el manejo perioperatorio que refl eja la evidencia científica disponible. [ABSTRACT FROM AUTHOR]
    • Abstract:
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