Introducing the 'Bleeding Team': Urgent Reconstruction of an Open Fracture in a Patient Receiving Acenocoumarol
| Autor: | Maria P. Ntalouka, Metaxia Bareka, Konstantina Kolonia, Eleni Arnaoutoglou, Antonios Koutalos, Michael E. Hantes |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Open fracture
medicine.medical_specialty Vitamin K medicine.drug_class Hemorrhage 030204 cardiovascular system & hematology Fractures Open 03 medical and health sciences 0302 clinical medicine medicine Humans Trauma team Orthopedics and Sports Medicine 030212 general & internal medicine Aged Acenocoumarol business.industry Anticoagulants Atrial fibrillation Vitamin K antagonist medicine.disease Polytrauma Surgery Regimen Fresh frozen plasma business medicine.drug |
| Zdroj: | JBJS Case Connector. 11 |
| ISSN: | 2160-3251 |
| DOI: | 10.2106/jbjs.cc.20.00786 |
| Popis: | CASE An elderly, polytrauma patient receiving vitamin K antagonist (VKA) for atrial fibrillation required immediate surgery for open distal tibial fracture. As the initial reversal with vitamin K and fresh frozen plasma by the trauma team was ineffective, the "Bleeding Team" was convened and administrated the appropriate four-factor prothrombin complex regimen, reversing the VKA in a timely manner. Surgery was performed under peripheral nerve blockade subsequently. The postoperative course of the patient was uneventful. CONCLUSION The individualized approach and the multidisciplinary experts' team guidance is of outmost importance in patients who are treated with anticoagulants and present for nonelective surgery. |
| Databáze: | OpenAIRE |
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