Introducing the “bleeding team”: Urgent reconstruction of an open fracture in a patient receiving acenocoumarol
Datum
2021Language
en
Schlagwort
Zusammenfassung
Case: An elderly, polytrauma patient receiving vitamin K antagonist (VKA) for atrial fibrillation required immediate surgery for open distal tibial fracture. As the initial reversal with vitamin K and fresh frozen plasma by the trauma team was ineffective, the “Bleeding Team” was convened and administrated the appropriate four-factor prothrombin complex regimen, reversing the VKA in a timely manner. Surgery was performed under peripheral nerve blockade subsequently. The postoperative course of the patient was uneventful. Conclusion: The individualized approach and the multidisciplinary experts’ team guidance is of outmost importance in patients who are treated with anticoagulants and present for nonelective surgery. © 2021 Lippincott Williams and Wilkins. All rights reserved.
Collections
Verwandte Dokumente
Anzeige der Dokumente mit ähnlichem Titel, Autor, Urheber und Thema.
-
Failure in diagnosis and under-treatment of osteoporosis in elderly patients with fragility fractures
Bougioukli S., Κollia P., Koromila T., Varitimidis S., Hantes M., Karachalios T., Malizos Κ.Ν., Dailiana Z.H. (2019)We evaluated whether osteoporosis is adequately managed and treated in patients suffering from fragility fractures. Factors that influenced osteoporosis diagnosis and treatment rates were also assessed. To this end, patients ... -
Scaphoid nonunions in adolescents: Treatment with vascularized bone grafts
Koutalos A.A., Papatheodorou L., Kontogeorgakos V., Varitimidis S.E., Malizos K.N., Dailiana Z.H. (2019)Introduction: Scaphoid nonunions (SN) are rare in adolescents. The use of vascularized bone grafts (VBG) from the distal radius as an alternative to conventional grafting for the treatment of established SN in adolescents ... -
MR angiogram confirms sustained blood flow in 1,2 ICSR artery of vascularized bone grafting in scaphoid nonunion treatment
Antoniou I.K., Athanaselis E.D., Rountas C., Koutalos A., Dailiana Z., Malizos K.N., Varitimidis S.E. (2019)Purpose: To evaluate the functioning of 1,2 intercompartmental supraretinacular artery (ICSRA) in vascularized bone grafting (VBG) of scaphoid nonunions with avascular necrosis of proximal pole. Materials and methods: ...