PPT-ORAL SURGERY IN PATIENTS ON ANTICOAGULANT THERAPY

Presented by Dr Varun Mittal PG Dept of Maxillofacial Surgery SRM DENTAL COLLEGE CHENNAI INDIA Which all patients Mostly cardiac or vascular disorders Atrial fibrillation Ischemic cardiac disease. How long to treat a DVT?. What do the ACCP Guidelines say?. Duration of Long-term Anticoagulant Therapy. In patients with a proximal DVT of the leg provoked by surgery, we recommend treatment with anticoagulation for 3 months over (i) treatment of a shorter period . with severe . Crohn's. . disease, an . ileal. stricture and proximal . dilation . on CTE . should have . medical therapy first. Uma Mahadevan MD. Professor of Medicine. University of California, San Francisco. and major trauma. Dr. Tina . Biss. Consultant . Haematologist. Newcastle Hospitals NHS Foundation Trust. NTN Annual Trauma . Conference. 17. th. April 2015. Case history. 73 year old female . Anticoagulated. Antithrombotic therapy and oral surgery Michael B Streiff, MD FACP Professor of Medicine and Pathology Medical Director, Johns Hopkins Anticoagulation Service Chairman, VTE Guideline Committee ,National Comprehensive Cancer Network Lanae Fox, . PharmD. , BCPS. I have no financial disclosures to report. Objectives. Understand the relative benefits and limitations of oral anticoagulant options. Recognize strategies for optimal use of oral anticoagulants and minimize risk of bleeding with these agents. Anticoagulant therapy. (n = . 124). CADISS. P. rimary outcome. : . Ipsilateral . stroke or all-cause mortality . for antiplatelet vs. anticoagulation: 2. % . vs. 1%; p . = . 0.63. Any stroke: 2% vs. 1%, . Patients with anticoagulant. (n=37). R-CHOP,. . n (%). 156 (51.0). 14 (37.8). R-CEOP, . n (%). 68 (22.2). 7 (18.9). R-CHOEP, . n (%). 47 (15.3). 2 (5.4). R-CVOP, . n (%). 11 (3.6). 10 (27.0). R-mini-CHOP, . existing clots from growing larger. Although anticoagulants are sometimes called blood thinners , they do not actually thin the blood. The job of anticoagulants is to promote the smooth flow of bloo Steven Johnston, BDS, MSc, MFDS RCS(Ed), Dental Officer, NHS Orkney. Steven Johnston for dental surgery. OralSurgery November 2015DentalUpdate Figure 1 provides a simplified summary of the coagulati 2 primary functions of vein are transporting blood toward the heart and . serving as reservoir . to prevent intravascular volume overload.. Venous endothelium is . non- thrombogenic surface. .. Unidirectional blood flow is achieved with multiple venous valves.. 1. Contact haematologist on call. , document DOAC taken and last time drug ingested, . calculate creatinine clearance (Cockcroft Gault), FBC and check INR/APTT/thrombin time. Dabigatran. Rivaroxaban. Christopher B. Granger, MD. On behalf of the IMPACT-AF . Steering. Committee and Investigators. Background. AF is common (34 million people worldwide). AF is associated with a 5-fold increased risk of stroke. Lec. . . Sura. . abbas. . Medicine ward. Introduction. HF is increasingly recognized as a cause of AF; approximately 25% to 30% of patients with New York Heart Association (NYHA) class III HF. have AF.. MEDICALLY . COMPROMISED . PATIENTS. PRESENTED BY:. KURESHI NAVAL ANJUM. WHAT. . THE. . PERIODONTAL. . TREATMENT. . HAS . TO. DO. . WITH. . THE . MEDICALLY. COMPROMISED. . PATIENTS?. Many . patients .