Royal College of Anaesthetists.
Anaesthesia. 2013 Sep;68(9):966-72. doi: 10.1111/anae.12359. Epub 2013 Aug 1.
Concise guidelines are presented that relate abnormalities of coagulation, whether the result of the administration of drugs or that of pathological processes, to the consequent haemorrhagic risks associated with neuraxial and peripheral nerve blocks. The advice presented is based on published guidelines and on the known properties of anticoagulant drugs. Four separate Tables address risks associated with anticoagulant drugs, neuraxial and peripheral nerve blocks, obstetric anaesthesia and special circumstances such as trauma, sepsis and massive transfusion.
现提出简明指南,将凝血异常(无论是药物作用还是病理过程所致)与椎管内和外周神经阻滞相关的出血风险联系起来。所提出的建议基于已发表的指南和已知的抗凝药物特性。四个单独的表格分别涉及抗凝药物、椎管内和外周神经阻滞、产科麻醉以及创伤、脓毒症和大量输血等特殊情况相关的风险。