Tuesday 3 April 2018 photo 11/15

$Latest asra guidelines: >> http://ibv.cloudz.pw/download?file=latest+asra+guidelines << (Download) Latest asra guidelines: >> http://ibv.cloudz.pw/read?file=latest+asra+guidelines << (Read Online) 31 Jul 2015 ASRA GUIDELINES MEDICATION PRIOR TO CATHETER PLACEMENT Minimum time between the last dose of anticoagulant & initial catheter placement AFTER CATHETER REMOVAL When to restart anticoagulation therapy , once catheter has been removed ADDITIONAL INFORMATIO N HALF LIFE 20 Sep 2013 For the thienopyridine drugs, the ASRA recommendation is that clopidogrel be discontinued for 7 days and ticlopidine for 10 to 14 days before a neuraxial injection . The most recent ASRA guidelines recommend against the performance of neuraxial techniques in patients who received thrombin inhibitors. NOTE: The decision to perform a neuraxial block on a patient receiving perioperative (anticoagulation) must be made on an individual basis by weighing the risk of spinal hematoma with the benefits of regional anesthesia for a particular patient. Medication. Prior to Catheter. Placement. (Minimum time between the last dose. ASRA Guidelines for Neuraxial Block and Anticoagulation. Unfractionated Heparin. Low Dose BID (5,000 SQ): No contraindications for BID dosing. If > 4 days of UF, check plts for HIT before pulling/placing catheter. Previous conservative recommendation: place/pull epidural 6 hrs after SQ UH and give SQ UH >1 hr after. 19 May 2015 The Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications Guidelines have been published in the May/June 2015 issue of Regional Anesthesia and Pain Medicine. The guidelines are the result of a joint committee organized by ASRA, along with the European ASRA Guidelines in local anaesthetics systemic toxicity management (LAST). 1. If signs and symptoms of LAST occur, prompt and effective airway management is crucial to prevent hypoxia and acidosis, which are known to potentiate LAST. 2. If seizures occur, they should be rapidly halted with benzodiazepines, The Pharmacologic Treatment of Local Anesthetic Systemic Toxicity (LAST) is Different from Other Cardiac Arrest Scenarios. * Reduce individual epinephrine boluses to ? 1 mcg/kg. * Avoid vasopressin, calcium channel blocks, beta blockers, or other local anesthetics Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy. The fourth edition of ASRA's evidence-based guidelines provides the most up-to-date information and patient safety recommendations. ASRA last published guidelines regarding anticoagulation in 2010 (see reference below). What follows is summary of these guidelines. New guidelines will be published in 2014. Thrombolytics: There is insufficient data to support specific recommendations regarding a safe time period for neuraxial puncture to take place 4 Aug 2015 Therefore, as per ESRA guidelines, an interval of 22–26 hours between the last rivaroxaban dose and RA is recommended, and next dose administered 4–6 hours following catheter withdrawal.6,32 Recently published interim update to ASRA Anticoagulation (third edition) and recent ESRA/World Institute$