Summary
Reversion of oral anticoagulation in emergency surgery
Valenzuela Martínez MJ, Martínez Ubieto F, Cruz López A, Gómez Ara AM
Affiliation of the authors
Servicio de Cirugía General. Hospital Comarcal de Alcañiz. Teruel. Spain. Servicio de Urgencias. Hospital Comarcal de Alcañiz. Teruel. Spain.
DOI
Quote
Valenzuela Martínez MJ, Martínez Ubieto F, Cruz López A, Gómez Ara AM. Reversion of oral anticoagulation in emergency surgery. Emergencias. 2015;27:316-8
Summary
Bleeding is the most serious adverse effect of oral anticoagulants. Emergency surgery requires the rapid reversion of coagulation disorder though the use of such products as prothrombin complex, vitamin K, or activated recombinant factor VII. We analyze the cases of 5 patients on oral anticoagulants (vitamin K antagonists) who required emergency surgery in our hospital in the past year. We describe patient characteristics, laboratory findings before and after correction of anticoagulant effects, preoperative treatment of coagulation disorder, surgical interventions, and outcomes.