Perioperative Anticoagulant Management
Evidence-based guidance for safe procedural planning
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Procedure
2
Medication
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Patient
4
Results
Select Procedure Type
Procedure Category
*
Select category...
Regional/Neuraxial anesthesia planned?
Yes (epidural/spinal or deep peripheral catheter)
We auto-detect neuraxial context from procedure keywords and Neurosurgery category. Use this to override based on the anesthesia plan.
Filter by bleeding risk
All risks
Low
Moderate
High
Specific Procedure
*
Anticoagulation Details
Current Anticoagulant
*
?
Select medication...
Apixaban (Eliquis)
Rivaroxaban (Xarelto)
Edoxaban (Lixiana)
Dabigatran (Pradaxa)
Warfarin
Enoxaparin (therapeutic)
Enoxaparin (prophylactic)
Dalteparin
Dalteparin (prophylactic)
UFH (prophylaxis, SQ)
UFH (IV infusion)
Therapeutic LMWH Regimen
Enoxaparin q12h (1 mg/kg BID)
Enoxaparin q24h (1.5 mg/kg daily)
Dalteparin daily
Thrombotic Risk Level
*
?
Low Risk
Standard management approach
Moderate Risk
May require adjusted timing
High Risk
Requires bridging therapy
Very High Risk
Mechanical mitral valve, recent stroke/VTE
Phase 1: This setting is now captured for LMWH/UFH in the Neurosurgery tab. It will drive neurosurgery restart timing in upcoming updates.
Patient Information
Important:
If patient has additional bleeding risk factors (recent bleeding, thrombocytopenia, concurrent antiplatelet therapy), consider managing as higher bleeding risk category. Consult specialist if uncertain.
Procedure Date & Time
*
Age
*
Sex
*
Select...
Male
Female
Height (cm)
*
Weight (kg)
*
Serum Creatinine (μmol/L)
*
?
Creatinine Clearance (CrCl) Method
*
?
Actual body weight (ABW)
Ideal body weight (IBW)
Adjusted body weight (AdjBW)
Apply minimum SCr of 53 μmol/L (for frail/elderly patients)
Neuraxial catheter will be in place
Catheter Removal Time
Management Plan
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