How Do I Manage A Patient Who Is On Anticoagulants?
We are very pleased to present this series of videos by Dr. Mark Donaldson, Director of Pharmacy Services at the Kalispell Regional Medical Center and faculty member at the University of Montana and the Oregon Health & Sciences University
There is no such thing as medical clearance. In fact, the dentist retains the primary responsibility for the procedures carried out for the immediate management of many untoward complications. While it is always prudent to get a consult with a medical practitioner, such as the patient’s primary prescriber or cardiologist, at the end of the day, the onus is on the dentist to keep up with the medical and dental literature and to make the appropriate decisions.
In the second part, we look at the science of clotting. What is the clinician’s view of haemostasis? As a quick review, if we go below the gum line and we do some type of dental surgery causing tissue injury, the body responds by activating platelets which travel to that area to cause healing or the platelet plug in that area.
In the third part, practical dental management of patients on anticoagulants is discussed. The challenge as practitioners we have is whether or not we want to stop the warfarin or not stop the warfarin preoperatively?
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