Guía de práctica clínica para el manejo de la anesthesia regional en el paciente que recibe anticoagulación y tromboprofilaxis

Journal
Revista Mexicana de Anestesiología
ISSN
0185-1012
Date Issued
2012
Author(s)
Carrillo Esper, Raúl
Zaragoza Lemus, Guadalupe
Covarrubias Gómez, Alfredo
Genis Rondero, Miguel Ángel
Guadarrama Bustamante, Verónica
Luna Ortiz, Pastor
Marrón Peña, Manuel
Mejía Terrazas, Gabriel Enrique
Moyao García, Diana
Sosa García, Jesús Ojino
Páez Serralde, Flavio
Ramírez Segura, Eduardo Homero
Rivera Flores, Jaime
Silva Blas, Laura
Tenopala Villegas, Sergio
Reyes Zepeda, Nancy
Aldrete Velasco, Jorge
Type
text::journal::journal article
URL
Abstract
Our objective was to develop clinical guidelines based on the best clinical evidence to help the medical staff of all levels (first, second and third medical attention levels) to provide evidence-based medicine and the management of regional anesthesia in patients receiving anticoagulation and thromboprophylaxis. The guidelines were built using structured and relevant clinical questions. We established a standardized sequence to search for clinical practice guidelines from questions on regional anesthesia treatment in patients receiving anticoagulation and thromboprophylaxis in children and adults. It was used as base document the clinical practice guideline based on evidence for patient treatment receiving anticoagulation and thromboprophylaxis published in 2009.The working group selected 37 publications. For aspects not considered in the reference guides, structured researches using PubMed, Medical Disability Advisor and Cochrane Library publish were done. The results were expressed according as level of evidence and grade of recommendation according to the characteristics and type of study design. A priority is to properly manage the patient requires a procedure for receiving regional anesthesia and coagulation-modifying drugs. The specialist should know the evidence-based recommendations for the proper management of these patients