Периоперационное ведение пациентов, получающих длительную антитромботическую терапию. Методические рекомендации Общероссийской общественной организации "Федерация анестезиологов и реаниматологов"

Translated title of the contribution: Perioperative management of patients receiving long-term antithrombotic therapy. Clinical practice recommendations of the national “Federation of Anesthesiologists and Reanimatologists”

I. B. Zabolotskikh, M. Yu Kirov, V. S. Afonchikov, A. Yu Bulanov, E. V. Grigoryev, S. V. Grigoryev, A. I. Gritsan, M. N. Zamyatin, I. S. Kurapeev, K. M. Lebedinskii, V. V. Lomivorotov, A. Yu Lubnin, A. M. Ovechkin, V. I. Potievskaya, E. V. Roitman, S. V. Sinkov, V. V. Subbotin, R. V. Shadrin, E. M. Shulutko

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

The review presents the methodological recommendations of the Federation of Anesthesiologists and Resuscitators for the management of patients receiving long-term antithrombotic therapy, revised in 2021. The classification of complications and the degree of hemorrhagic risk, stratification of perioperative thromboembolic risk are presented. Taking into account modern concepts, the principles of interruption and resumption of antithrombotic, anticoagulant and antiplatelet therapy are described. Approaches to the emergency interruption of antithrombotic therapy during urgent surgical interventions, including emergency reversion of the effects of drugs received by the patient, are presented. The features of the appointment and changes in the tactics of antithrombotic therapy depending on the thromboembolic and hemorrhagic risk in such concomitant diseases and conditions as the presence of artificial heart valves, atrial fibrillation, ischemic stroke, myocardial infarction, coronary stenting are described. A separate section is devoted to thrombohemorrhagic safety when performing regional anesthesia against the background of antithrombotic therapy. Indications, contraindications and limitations for regional anesthesia in the context of antithrombotic therapy are given. Criteria for the quality of the provided medical care are given.

Translated title of the contributionPerioperative management of patients receiving long-term antithrombotic therapy. Clinical practice recommendations of the national “Federation of Anesthesiologists and Reanimatologists”
Original languageRussian
Article number1
Pages (from-to)7-26
Number of pages20
JournalAnnals of Critical Care
Issue number3
DOIs
Publication statusPublished - 2021

Keywords

  • Anticoagulant therapy
  • Antiplatelet therapy
  • Artificial heart valves
  • Atrial fibrillation
  • Coronary stent
  • Emergency reversion
  • Hemorrhagic risk
  • Interruption of antithrombotic therapy
  • Ischemic stroke
  • Myocardial infarction
  • Regional anesthesia
  • Thromboembolic risk

OECD FOS+WOS

  • 3.02 CLINICAL MEDICINE

State classification of scientific and technological information

  • 76.29 Clinical medicine

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