• Curr Opin Anaesthesiol · Dec 2007

    Review

    Low-dose aspirin and clopidogrel: how to act in patients scheduled for day surgery.

    • Frédérique Servin.
    • Department of Anaesthesia and Intensive Care, Bichat Hospital, Paris, France. fservin@magic.fr
    • Curr Opin Anaesthesiol. 2007 Dec 1;20(6):531-4.

    Purpose Of ReviewWith the increasing use of antiplatelet drug treatment, complications resulting from its interference with invasive procedures (surgery or regional anaesthesia) have become an everyday challenge to the surgical team. The purpose of this review is to examine the most recent findings and integrate them into the ambulatory surgery setting.Recent FindingsRecent studies have outlined the risks of withholding antiplatelet drug treatment, but it is now generally considered to be preferable to withhold treatment than to maintain it. The role of low molecular weight heparins or short-life NSAIDs as bridge drugs is now discussed and their usefulness challenged.SummaryMost ambulatory surgical procedures present low bleeding risk. The current attitude in this setting is to maintain aspirin therapy and possible antiplatelet drug inhibitors throughout the perioperative period. High-risk patients proposed for high-risk surgery should not be treated as outpatients.

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