Everyday Oral Surgery

Hematology Series: Anticoagulation therapies and surgical considerations (with Dr. Andrew Jenzer)

29 snips
Mar 17, 2025
Dr. Andrew Jenzer, an oral maxillofacial surgeon from North Carolina with a deep expertise in hematology, shares invaluable insights into anticoagulation therapies. Listeners learn about thrombosis causes, the crucial guidelines like Wells' Criteria, and the complexities of managing pulmonary embolisms. Dr. Jenzer distinguishes between provoked and unprovoked clots while emphasizing perioperative management for patient safety. He also tackles the intricacies of anticoagulation in dental settings, ensuring that healthcare professionals grasp essential life-saving knowledge.
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ANECDOTE

Mineral Water Mistaken for Alcohol

  • Dr. Grant Stuckey shared a story about being pulled over for unauthorized lights while helping his daughter who ran out of gas.
  • The officer mistakenly thought his mineral water was alcohol, leading to a humorous misunderstanding and a warning instead of a ticket.
INSIGHT

Virchow's Triad Explained

  • Virchow's Triad explains thrombosis causes: vascular stasis, endothelial damage, and hypercoagulability.
  • Presence of one or more factors increases risk of blood clots.
INSIGHT

Common Hypercoagulable Conditions

  • Factor V Leiden is the most common congenital hypercoagulable disorder causing resistance to activated protein C.
  • Other key conditions include antithrombin deficiency, protein C and S deficiencies, atrial fibrillation, and antiphospholipid syndrome.
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