SavedAdd your journal

Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2017 / Cilt: 23 - Sayı: 4

Determination of the Epidural Catheter Withdrawal time in Patients Mistakenly Given Clopidogrel and Aspirin in the Early Postoperative Period

Takılıyken Yanlışlıkla Klopidogrel ve Aspirin Verilen Postoperatif Erken Dönemde Epidural Kateter Hastada Kateter Çekilme Zamanının Belirlenmesi

Jülide ERGİL
KEVSER PEKER
Derya ÖZKAN
Aslı DÖNMEZ
Alp DOLGUN
Pages
157–160
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report, we present a patient who underwent aortic right iliac artery bypass grafting with combined spinal epidural anesthesia and given 75 mg clopidogrel and 100 mg salicylate by the surgical team before catheter removal in the early postoperative period

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Determination of the Epidural Catheter Withdrawal time in Patients Mistakenly Given Clopidogrel and Aspirin in the Early Postoperative PeriodMany complications may develop due to applications of neuroaxial block.
📊
Key Findings & Data:Since epidural hematoma may develop during catheter placement as it may also develop following catheter withdrawal, both epidural catheter placement and withdrawal in patients on anticoagulant therapy require attention.
💡
Conclusion & Impact:In this case report, we present a patient who underwent aortic right iliac artery bypass grafting with combined spinal epidural anesthesia and given 75 mg clopidogrel and 100 mg salicylate by the surgical team before catheter removal in the early postoperative period
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Determination of the Epidural Catheter Withdrawal time in Patients Mistakenly Given Clopidogrel and Aspirin in the Early Postoperative PeriodMany complications may develop due to applications of neuroaxial block. Since epidural hematoma may develop during catheter placement as it may also develop following catheter withdrawal, both epidural catheter placement and withdrawal in patients on anticoagulant therapy require attention. In this case report, we present a patient who underwent aortic right iliac artery bypass grafting with combined spinal epidural anesthesia and given 75 mg clopidogrel and 100 mg salicylate by the surgical team before catheter removal in the early postoperative period

Özet

Nöroaksiyel blok uygulamalarına bağlı birçok komplikasyon gelişebilmektedir. Epidural hematom, kateter yerleştirilmesi sırasında gelişebileceği gibi, kateter çekilmesini takiben de gelişebileceğinden antikoagülan kullanan hastalarda hem epidural kateter yerleştirilmesi hem de çekilmesi özellik gerektirir. Bu olgu sunumunda, kombine spinal epidural anestezi ile aorta sağ iliak arter baypas greftlemesi yapılan ve postoperatif erken dönemde kateter çekilmeden önce cerrahi ekip tarafından oral 75 mg klopidogrel ve 100 mg salisilat başlanan hasta sunulmaktadır

🔖

Cite This Article

ERGİL, J., PEKER, K., ÖZKAN, D., DÖNMEZ, A., DOLGUN, A. (2017). Determination of the Epidural Catheter Withdrawal time in Patients Mistakenly Given Clopidogrel and Aspirin in the Early Postoperative Period. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 23 - Sayı: 4, 157–160. https://ajindex.com/articles/167568

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Horlocker TT. Regional anaesthesia in the patient receiving anti thrombotic and antiplatelet therapy. Br J Anaesth 2011;107:96-106.
  2. Gunarathne A, Hussain S, Gershlick AH. Prasugrel hydrochloride for the treatment of acute coronary syndrome patients. Expert Rev Cardiovasc Ther 2016;14(11):1215-26.
  3. Horlocker TT, Wedel DJ, Rowlingson JC, Enneking FK, Kopp SL, Benzon HT, et al. Regional anesthesia in the patient receiving antithrombotic or thrombolytic theraphy: American society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition). Reg Anesth Pain Med 2010;35:64-101.
  4. Savcic M, Hauert J, Bachmann F, Wyld PJ, Geudelin B, Cariou R. Clopidogrel loading dose regimens: kinetic profile of pharmacodynamic response in healthy subjects. Semin Thromb Hemost 1999; 25 Suppl 2:15-9 5. Vandermeulen E. Regional anaesthesia and antikoagulation. Best Pract Res Clin Anaesthesiol 2010;24:121-31.
  5. Payne DA, Haynes PD, Jones CI, Belham P, Naylor AR, Goodall AH. Combined theraphy with clopidogrel and aspirin significantly increases the bleeding time through a synergistic antiplatelet action. J Vasc Surg 2002;35:1204-1209
  6. Sertöz N, Demir F, Ömer H. Epidural kateter çekilmesi sonrası epidural hematom. Türk Anest Der Dergisi 2010;38:142-6
  7. Karadağ B, İkitimur B, Öngen Z. Yeni oral antikoagülan ve antiagregan ilaçları kullanan hastalarda perioperatif yaklaşım. Türk Kardiyol Dern Arş 2012; 40(6): 548-51 9. Young AC, Shah S, Buvanendran A. Use of a Quantitative Platelet Function Test to Guide Epidural Catheter Removal in a Patient Who Inadvertently Received Clopidogrel. Pain Medicine 2015;16:1029-35.
  8. Hah JM, Noon K, Gowda A, Brun C. Management of a patient with a thoracic epidural after accidental clopidogrel administration. A&A Case Reports 2015;5:18-20.
  9. Glenn E, Mehl J, Rosinia F. A, Liu H. Safe removal of an epidural catheter 72 hours after clopidogrel and aspirin administrations guided by platelet function analysis and thromboelastography. Journal of Anaesthesiology Clinical Pharmacology 2013;29:99-101.
  10. Hamburger J, Hofer I. S, Khelemsky Y. A patient who received clopidogrel with an indwelling epidural