title: Management of oral anticoagulation in the surgical patient.
abstract: New oral anticoagulants (NOACs) have recently emerged as an alternative for vitamin K antagonists and are now widely available. Although there is good evidence for their roles in the appropriate clinical settings, so far no reversal agent is currently available. Likewise, there is no readily available laboratory test to quantify drug levels but coagulation assays may provide qualitative information about the presence of some NOACs. We aim to review the current literature regarding the optimal management of oral anticoagulation in the perioperative setting.
authors.affiliation: Department of Cardiology, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
authors.forename: Jilani
authors.initials: J
authors.lastname: Latona
authors.affiliation: School of Medicine, Griffith University, Gold Coast, Queensland, Australia.
authors.forename: Atifur
authors.initials: A
authors.lastname: Rahman
mesh_terms: D000284:Administration, Oral; D000925:Anticoagulants / Q000008:administration & dosage*; D019468:Disease Management; D016903:Drug Monitoring / Q000379:methods; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care / Q000379:methods*
chemical_list: D000925:Anticoagulants
keywords: anticoagulation; surgery