Emergency abdominal surgery in a patient anticoagulated with dabigatran.
Dabigatran is a newer oral anticoagulant, indicated for chronic atrial fibrillation anticoagulation. Experience with an emergent laparotomy in a patient on dabigatran is presented. Difficulties of this medication and strategies to deal with the coagulopathy from this direct thrombin inhibitor are described.
Department of Surgery, Division of Trauma & Critical Care, Winthrop University Hospital, Mineola, New York, USA. jdemuro@winthrop.org.
Jonas Paul
JP
DeMuro
D000007:Abdominal Injuries / Q000601:surgery*; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000188:drug therapy*; D000069604:Dabigatran / Q000009:adverse effects / Q000627:therapeutic use*; D004632:Emergency Medical Services; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced / Q000517:prevention & control; D006487:Hemostasis; D006801:Humans; D010535:Laparoscopy
D000925:Anticoagulants; D000069604:Dabigatran