Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast Episode 30: Management of anticoagulation for non-valvular a-fib
12 snips
Jan 17, 2017 AI Snips
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Patient Defies Medical Skepticism
- Jed Woldpaw recounted a patient with a rare muscular wasting syndrome who self-diagnosed correctly despite skepticism.
- He emphasized the importance of humility in medicine and listening to patients who question medical knowledge.
Defining Non-Valvular A-Fib
- Non-valvular atrial fibrillation excludes those with rheumatic mitral stenosis or mechanical/bioprosthetic valves.
- Some consider moderate or severe mitral regurgitation valvular AFib; this remains a gray area.
Manage Warfarin Around Surgery
- For low bleeding risk surgeries with low patient bleeding risk, continue warfarin without interruption.
- For intermediate/high-risk surgeries or patients with bleeding risk factors, stop warfarin and ensure INR normalization before surgery.