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Perioperative Management of Patients Taking Direct Oral Anticoagulant Medications

JAMA Clinical Reviews

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Managing Bleeding Risks in DOAC Patients

This chapter covers the assessment and management of bleeding risk for patients on direct oral anticoagulants (DOACs) during various surgical procedures. It categorizes surgeries based on bleeding risk and provides recommendations for when to stop and resume DOACs, along with strategies for those unable to restart medications due to complications. Emphasizing a multidisciplinary approach, the chapter underscores the importance of individualized patient care to ensure safety and optimal outcomes in both elective and urgent surgical contexts.

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