Perioperative management of patients receiving long-term antithrombotic therapy. Russian Federation of anesthesiologists and reanimatologists guidelines
Issue 1 (2019) , CLINICAL GUIDELINES
Issue 1 (2019)
CLINICAL GUIDELINES

Perioperative management of patients receiving long-term antithrombotic therapy. Russian Federation of anesthesiologists and reanimatologists guidelines

https://doi.org/10.21320/1818-474X-2019-1-7-19
Published 01.03.2019
Igor B. Zabolotskikh
FSBI HPE “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation, Krasnodar; SBIHC “Regional Clinical Hospital № 2» MH KK, Krasnodar
https://orcid.org/0000-0002-3623-2546
M.Yu. Kirov
FSBEI HE “Northern State Medical University” of the Ministry of Healthcare of the Russian Federation, Arkhangelsk
https://orcid.org/0000-0002-4375-3374
V.S. Afonchikov
SBI “I.I. Dzhanelidze St. Petersburg Research Institute of Ambulance”, St. Petersburg
https://orcid.org/0000-0003-4851-0619
A.Yu. Bulanov
SBIH of Moscow “City Clinical Hospital № 52 DZM”, Moscow
https://orcid.org/0000-0001-6999-8145
E.V. Grigoriev
FSBEI HE “Kemerovo State Medical University” of the Ministry of Healthcare of the Russian Federation, Kemerovo
https://orcid.org/0000-0002-3898-0740
A.I. Gritsan
FSBEI HE «Krasnoyarsk state medical University named after Professor V.F. Voyno-Yasenetsky» Ministry of Healthcare of Russia, Krasnoyarsk
https://orcid.org/0000-0002-0500-2887
M.N. Zamyatin
FSBI “National Medical and Surgical Center named after N.I. Pirogov” of the Ministry of Healthcare of the Russian Federation, Moscow
https://orcid.org/0000-0002-2072-7798
I.S. Kurapeev
FSBEI HE “North-Western State Medical University named after I.I. Mechnikov” Ministry of Health of Russia, St. Petersburg
https://orcid.org/0000-0002-2341-4658
K.M. Lebedinskii
FSBEI HE “North-Western State Medical University named after I.I. Mechnikov” Ministry of Health of Russia, St. Petersburg
https://orcid.org/0000-0002-5752-4812
V.V. Lomivorotov
FSBEI “National Medical Research Center named after academician E.N. Meshalkin” Ministry of Healthcare of Russia, Novosibirsk
https://orcid.org/0000-0001-8591-6461
A.Yu. Lubnin
FSAI “N.N. Burdenko National Scientific and Practical Center for Neurosurgery” of the Ministry of Healthcare of the Russian Federation, Moscow
https://orcid.org/0000-0003-2595-5877
A.M. Ovechkin
FSAEI HE “I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenov University)”, Moscow
https://orcid.org/0000-0001-7629-6280
V.I. Potievskaya
FSBI “National Medical Research Radiology Center” of the Ministry of Healthcare of the Russian Federation, Moscow
https://orcid.org/0000-0002-2459-7273
E.V. Roitman
FSBEI HE “Russian National Research Medical University named after N.I. Pirogov” of the Ministry of Healthcare of the Russian Federation, Moscow
https://orcid.org/0000-0002-3015-9317
S.V. Sinkov
FSBI HPE “Kuban State Medical University” of the Ministry of Healthcare of the Russian Federation, Krasnodar; SBIHC “Regional Clinical Hospital № 2» MH KK, Krasnodar
https://orcid.org/0000-0003-4483-4077
V.V. Subbotin
SBIH “Moscow Clinical Scientific Center named after A.S.Loginov”, Moscow
https://orcid.org/0000-0002-0921-7199
E.M. Shulutko
FSBEI “Russian Medical Academy of Postgraduate Education” Ministry of Healthcare of the Russian Federation, Moscow
https://orcid.org/0000-0001-7312-6796
#2019-1
PDF_2019-01_7-19 (Русский)

Keywords

anticoagulant therapy
antiplatelet therapy
interruption of antithrombotic therapy
emergency reversion
regional anesthesia

How to Cite

Zabolotskikh I.B., Kirov M.Y., Afonchikov V.S., Bulanov A.Y., Grigoriev E.V., Gritsan A.I., Zamyatin M.N., Kurapeev I.S., Lebedinskii K.M., Lomivorotov V.V., Lubnin A.Y., Ovechkin A.M., Potievskaya V.I., Roitman E.V., Sinkov S.V., Subbotin V.V., Shulutko E.M. Perioperative management of patients receiving long-term antithrombotic therapy. Russian Federation of anesthesiologists and reanimatologists guidelines. Annals of Critical Care. 2019;(1):7–19. doi:10.21320/1818-474X-2019-1-7-19.
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Abstract

The review presents the clinical guidelines of the Federation of Anaesthesiology and Resuscitation specialists of Russia, revised in 2018. The recommendations are based on a review of publications and modern international guidelines of the British Hematology Standards Committee (BSH, 2016), the European Society of Cardiology in partnership with the European Society of Cardiothoracic Surgeons (ESC and EACTS, 2018), the American Society of Regional Anesthesia and Pain (ASRA, 2018), The European Society of Anesthesiologists (ESA, 2010), as well as a consensus document of an interdisciplinary group of experts of the Russian Federation.

Perioperative management of patients receiving long-term antithrombotic (antiplatelet and / or anticoagulant) therapy may be problematic, as they often need to interrupt antithrombotic therapy before surgery. In this, it is necessary to maintain a balance between the effectiveness of antithrombotic therapy and its safety by minimizing the frequency of both hemorrhagic and thrombotic complications. The recommendations presented in the review are aimed at achieving the strategic goal of perioperative antithrombotic therapy — minimizing the risk of bleeding subject to the minimum necessary antithrombotic potential.

https://doi.org/10.21320/1818-474X-2019-1-7-19
PDF_2019-01_7-19 (Русский)

Full-text of the article is available for this locale: Русский.

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