When patients on warfarin need surgery

  • Cleveland Clinic Journal of Medicine
  • November 2003,
  • 70
  • (11)
  • 973-984;

ABSTRACT

When a patient who has been taking warfarin long-term needs to undergo surgery, how to manage his or her anticoagulation is controversial. We believe most patients should stop taking warfarin 5 days before elective surgery, and most do not need to receive heparin in the perioperative period as a bridge to surgery.

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