<p>Performing regional anesthesia procedures in patients with coagulation disorders or under antithrombotic medication requires careful consideration of the benefits and risks. This review article compares international guidelines on regional anesthesia under anticoagulation and discusses the different approaches for peripheral and neuraxial procedures. In addition, the importance of point-of-care testing (POCT) procedures for monitoring anticoagulants and their influence on making decisions is highlighted. A&#xa0;particular focus is on practical recommendations for action for the clinical application in order to enable evidence-based and safe regional anesthesia under anticoagulation.</p>

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Regionalanästhesie unter Antikoagulation

  • Simon-Friedrich Buhrmann,
  • Lars Heubner,
  • Oliver Vicent,
  • Peter Markus Spieth

摘要

Performing regional anesthesia procedures in patients with coagulation disorders or under antithrombotic medication requires careful consideration of the benefits and risks. This review article compares international guidelines on regional anesthesia under anticoagulation and discusses the different approaches for peripheral and neuraxial procedures. In addition, the importance of point-of-care testing (POCT) procedures for monitoring anticoagulants and their influence on making decisions is highlighted. A particular focus is on practical recommendations for action for the clinical application in order to enable evidence-based and safe regional anesthesia under anticoagulation.