PPT-Argatroban as an Alternative to Heparin for Vascular and Cardiovascular Surgery in Patients

Argatroban as an Alternative to Heparin for Vascular and Cardiovascular Surgery in Patients with a History of HIT By April Schmidt RN BSN Duke University Nurse Anesthesia Program My Background BSN from East Carolina University in 1999. Antiplatelet Guidelines. PERIOPERATIVE MANAGEMENT OF ANTIPLATELET THERAPY. Working Group: . James D. Douketis MD, FRCP(C); A. Graham . Turpie. MD, FRCP(C). Objectives. Interpret the Canadian Cardiovascular Society . (HIT). HEPARIN-INDUCED THROMBOCYTOPENIA. Unfractionated heparin (UFH) (beef > pork). Continuous iv infusion. Cardiopulmonary bypass. Low dose sq. Heparin flushes. Heparin-bonded catheters. Low molecular weight heparin. ASCEND Randomized placebo-controlled trial of aspirin 100 mg daily in 15,480 patients with diabetes and no baseline cardiovascular disease Jane Armitage and Louise Bowman on behalf of the ASCEND Study Collaborative 34 year old female found unresponsive. Bariatric Surgery Types. Gastric Bypass. Sleeve Gastrectomy. Lap-Band—rarely performed now. VBG (Gastric Stapling)—obsolete . Molina Band—obsolete. Other: (Duodenal Switch, BPD). Dr.Lukáč Jakub. FN Brno –Trauma dept.. ...little bit of history first . Studies on egyptian mummies revealed, that people more than 3500 yrs back suffer from atherosclerosis. Death, MI, or revascularization: 4.5% vs. 2.9% (p = 0.06), respectively. Stent thrombosis: 1.2% vs. 0.5% (p = 0.11), respectively. Trial design:. . NSTEMI patients initially treated with fondaparinux 2.5 mg SQ were randomized to . Narender Goel et al.. Middletown Medical PC,. Montefiore Medical Center & Albert Einstein College of . Medicine, New York. 4th International Conference on Nephrology & Therapeutics. September . During cardiopulmonary bypass procedures, systemic anticoagulation to prevent thrombosis in the patient as well as the circuit is utilized. Heparin is the most common agent used, but in selective cir 1 Correspondence Address: Utkan Sevuk https://orcid.org/0000-0001-7429-5997 Ktlbil Mah, Dicle Üniversitesi Kalp Hastanesi, Kalp ve Damar Cerrahisi Klinigi, 2. kat, Sur, Diyarbakir, Turkey 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. Mirek Otremba, MD. December 10, 2013. Director, UHN/MSH Medical Consult Service. On the web: Consult.otremba.org. Outline. Pre-operative Cardiac Assessment. Pre-operative Patient with a murmur (AS). Pre-operative Patient with Hypertension. postoperative increase in platelets. coupled with . venous endothelial trauma. and . stasis . all contribute . If no prophylaxis is given, 30% of these patients will develop DVT and 0.1-0.2% will die from pulmonary thromboembolism (PTE) . anaesthesia. . . Dr. : . Miaad. Adnan . 24 / . 10. / 2021. FIBMS . Anaesthesia. . . Dr. PJ Devereaux on behalf of POISE-3. Investigators. Population Health Research Institute, Hamilton, Canada. Funding: Canadian Institutes of Health Research, . National Health and Medical Research Council (Australia), Research Grant Council (Hong...