NDLI: Epidural analgesia in vascular surgery patients actively taking clopidogrel. (Journal: British Journal of Anaesthesia Volume: 104 Issue: 4)

Please wait, while we are loading the content...

Year: 2017 Volume: 118

Year: 2016 Volume: 117

Year: 2016 Volume: 116

Year: 2015 Volume: 115

Year: 2015 Volume: 114

Year: 2014 Volume: 113

Year: 2014 Volume: 112

Year: 2013 Volume: 111

Year: 2013 Volume: 110

Year: 2012 Volume: 109

Year: 2012 Volume: 108

Year: 2011 Volume: 107

Year: 2011 Volume: 106

Year: 2010 Volume: 105

Year: 2010 Volume: 104

Year: 2010 Volume: 104 Issue: 6

Year: 2010 Volume: 104 Issue: 5

Year: 2010 Volume: 104 Issue: 4

Teaching airway management to novices: a simulator manikin study comparing the 'sniffing position' and 'win with the chin' analogies.

Influence of steep Trendelenburg position and $CO_{2}$ pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy

Effect of body mass index on the ED50 volume of bupivacaine 0.5% for supraclavicular brachial plexus block.

Sevoflurane preserves the endothelial glycocalyx against ischaemia-reperfusion injury.

Reduced effect of propofol at human {alpha}1{beta}2(N289M){gamma}2 and {alpha}2{beta}3(N290M){gamma}2 mutant GABA(A) receptors.

Epidural analgesia in vascular surgery patients actively taking clopidogrel.

Effect of length of stay in intensive care unit on hospital and long-term mortality of critically ill adult patients.

ETView tracheoscopic ventilation tube for surveillance after tube position in patients undergoing percutaneous nephrolithotomy.

Rotation thromboelastometry detects thrombocytopenia and hypofibrinogenaemia during orthotopic liver transplantation.

A pilot study evaluating predictors of postoperative outcomes after major abdominal surgery: Physiological capacity compared with the ASA physical status classification system.

Perioperative cardiac arrest in a patient with previously undiagnosed Becker's muscular dystrophy after isoflurane anaesthesia for elective surgery.

Anaesthesia non-technical skills: Can anaesthetists be trained to reliably use this behavioural marker system in 1 day?

Reducing the risk of fatal and disabling hypoglycaemia: a comparison of arterial blood sampling systems.

Study of the time course of the clinical effect of propofol compared with the time course of the predicted effect-site concentration: Performance of three pharmacokinetic-dynamic models.

Abilities of pulse pressure variations and stroke volume variations to predict fluid responsiveness in prone position during scoliosis surgery.

Normal glucose enhances neuronal regeneration after lidocaine-induced injury.

Adding ketamine to morphine for intravenous patient-controlled analgesia for acute postoperative pain: a qualitative review of randomized trials.

Anaesthesia and the sex-linked dystrophies: between a rock and a hard place.

Pentax-AWS videolaryngoscope for awake nasotracheal intubation in patients with a difficult airway.

Paediatric Airtraq for adult nasal intubation in anaesthetized patients.

Appropriate timing of administration of magnesium during spinal anaesthesia.

Epidural blood patch for hypoactive-hypoalert behaviour secondary to spontaneous intracranial hypotension.

Liver trauma secondary to ultrasound-guided transversus abdominis plane block.

Gluteal compartment syndrome presenting with features of iatrogenic epidural haematoma.

Cricoid force in children.

Effect of decompressive craniectomy on bispectral index and memory.

Year: 2010 Volume: 104 Issue: 3

Year: 2010 Volume: 104 Issue: 2

Year: 2010 Volume: 104 Issue: 1

Year: 2009 Volume: 103

Year: 2009 Volume: 102

Year: 2008 Volume: 101

Year: 2008 Volume: 100

Year: 2007 Volume: 98

Year: 2006 Volume: 96

Year: 2005 Volume: 95

Year: 2005 Volume: 94

Year: 2004 Volume: 93

Year: 2003 Volume: 91

Epidural analgesia in vascular surgery patients actively taking clopidogrel. (Journal: British Journal of Anaesthesia Volume: 104 Issue: 4)

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Osta, W. A. Akbary, H. Fuleihan, S. F.
Description	Country affiliation: United States Author Affiliation: Osta WA ( Department of Anesthesia, Wayne State University/Detroit Medical Center, MI 48201, USA. wosta@med.wayne.edu)
Abstract	The administration of anti-platelet agents to surgical patients with a history of coronary artery disease or peripheral vascular disease represents an everyday challenge to anaesthesiologists when epidural anaesthesia or analgesia is to be considered. Practice guidelines suggest stopping clopidogrel at least 7 days before placing an epidural catheter. Withholding anti-platelet drugs represents a great risk to many of these patients. On the other hand, withholding perioperative epidural analgesia denies the patients its benefits including faster resolution of postoperative ileus, earlier ambulation, decreased risk of thromboembolism and vascular graft thrombosis, and decreased hospital stay. The charts of 306 vascular surgical patients who received epidural analgesia without withholding clopidogrel perioperatively were reviewed for the presence of any postoperative complications related to the continued intake of clopidogrel. No postoperative neurological complications resulting from the use of epidural analgesia were found in any of these patients. The point estimate (95% confidence limits) for the risk of epidural haematoma or other complications for this study is 0 (0-1)%. No neurological complications were found as a result of placing an epidural catheter in patients actively taking clopidogrel. Owing to the small sample size, we cannot recommend the liberal use of epidural analgesia with ongoing clopidogrel administration at this time. Further prospective studies, with larger sample size, are needed in order to substantiate our findings.
File Format	HTM / HTML
ISSN	00070912
e-ISSN	14716771
Journal	British Journal of Anaesthesia
Issue Number	4
Volume Number	104
Language	English
Publisher	Oxford University Press
Publisher Date	2010-04-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Anesthesiology Analgesia, Epidural Adverse Effects Platelet Aggregation Inhibitors Ticlopidine Analogs & Derivatives Vascular Surgical Procedures Hematoma, Epidural, Spinal Chemically Induced Perioperative Care Administration & Dosage Postoperative Complications Retrospective Studies Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

Central Library (ISO-9001:2015 Certified)
Indian Institute of Technology Kharagpur
Kharagpur, West Bengal, India | PIN - 721302

See location in the Map
03222 282435
Mail: support@ndl.gov.in

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in