Anticoagulation in the Geriatric Surgical Patient

Anticoagulation in the Geriatric Surgical Patient - #10

Take Quiz

Review perioperative anticoagulation management of geriatric patients.

Geriatric patient in a perioperative hospital setting.

Patient undergoing invasive procedure currently taking warfarin for history of thromboembolism.

1. List 3 considerations in perioperative anticoagulation management of geriatrics patients.
2. Give examples of low, moderate, and high risk thromboembolic states/conditions.
3. Explain general anticoagulation perioperative management for each level of risk.

  1. Dossett LA, et al. Prevalence and implications of preinjury warfarin use: an analysis of the National Trauma Databank. Archives of Surgery. 146(5):565-70, May 2011.
  2. Bonville DJ, et al. Impact of preinjury warfarin and antiplatelet agents on outcomes of trauma patients. Surgery. 150(4):861-8, Oct 2011
  3. Heit JA, et al. Perioperative management of the chronically anticoagulated patient. Journal of Thrombolysis. 12:81-7. 2001.
  4. Dunn AS, Turpie AG. Perioperative management of patients receiving oral anticoagulants: a systematic review. Arch Internal Med. 163(8):901-8. Apr 2003.
  5. Jafri S. Periprocedural thromboprophylaxis in patients receiving chronic anticoagulation therapy. Am Heart Journal. 147(1): 1-15. 2004.
  6. Guyton AC, Hall JE. Textbook of Medical Physiology. St. Louis, MO: Saunders. 11th Edition. 2005.
This GFF ___ my competence in geriatrics.

John Petronovich, Kathryn Denson MD, Bambi Wessel

Medical College of Wisconsin, Milwaukee, Wisconsin.