Discover and read the best of Twitter Threads about #andexanet

Most recents (3)

1/

Second day of @Smart_Meeting_M

Professor @giovannilandoni talking about management of #anticoagulant in #perioperative patients 💉

✅You surely all know how to deal with #antithrombotic and #regionalanesthesia, here the guidelines:

pubmed.ncbi.nlm.nih.gov/34980845/

#FOAMed #FOAMcc Image
2/

💡Let's focus on perioperative #DOAC /#NOAC / #TSOAC

➡️Consider both #surgical blood loss risk and #patient characteristics.

⚠️Remember NOT to bridge with #LMWH or #UFH.

pubmed.ncbi.nlm.nih.gov/33895845/ Image
3/

What if it's not an elective patient??

Use #reversal agents when needed❗

🔹#Idarucizumab for #dabigatran
🔹#Andexanet for #apixaban and #rivaroxaban
💡#Prothrombin complex concentrates in addiction

pubmed.ncbi.nlm.nih.gov/36988142/ Image
Read 7 tweets
Great article on neurocritical care of the pregnant patient by Dr. Malaiyandi: ncbi.nlm.nih.gov/pmc/articles/P…
Some pearls:
👉 🔑 tenet is prioritize outcome of mother while minimizing harm to fetus #reproductiverightsarehumanrights
👉PA<AP radiation
👉Use preservative free heparin
👉 NCCT head <0.001mGy exposure👉 Avoid use of lead over abdomen for CT - may actually increase radiation exposure
👉POCUS can raise temp from absorption of sound waves. B-mode best, Doppler worst. Minimize time
👉CT contrast = cat B, use when urgently needed vs MRA when not
👉avoid Gadolinium, however, but ok to breastfeed post
👉tPA/tNK do not cross placenta, but ⬆️ risk uterine bleeding - per @StrokeAHA_ASA give when benefit>risk
👉Lovenox best for AC. DOACs ⬆️ risk of miscarriage
👉#PCC/FFP/protamine cat. C. #andexanet = cat. N
Read 7 tweets
1a) Welcome to a new #accredited #tweetorial on a very challenging topic: managing #ICH in a patient taking anti-FXa #DOACs! Your expert authors are both #neurointensivists: Richard Choi, DO @rkchoi @christianacare and Casey Albin, MD @caseyalbin @EmoryNeuroCrit ImageImage
1b) #Physicians #Nurses #Pharmacists #physicianassociate #NPs earn 0.5h CE/#CME from @academiccme for following this 🧵 Image
2) This program is supported by an educational grant from AstraZeneca and is intended for #HCPs. Accreditation statement and faculty disclosures at cardiometabolic-ce.com/disclosures/. Prior (& future) programs in this space, available for 🆓CE/#CME credit, at cardiometabolic-ce.com/category/antit….
Read 52 tweets

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