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- Rinoo V Shah and Alan D Kaye.
- Department of Anesthesiology, Guthrie Clinic-Big Flats, Horseheads, New York 14845, USA. rinoo_shah@yahoo.com
- Curr Opin Anaesthesiol. 2008 Aug 1; 21 (4): 433-8.
Purpose Of ReviewInterventional pain management is an emerging specialty that uses procedures to diagnose and treat chronic pain. Most of these procedures are performed percutaneously and carry a risk of bleeding. Patients undergoing these treatments may be receiving exogenous anticoagulants. The pain practitioner faces a dilemma in performing an elective procedure on a patient with a bleeding risk.Recent FindingsA literature review about coagulation physiology and pathophysiology, anticoagulants, and bleeding complications in interventional pain would be useful to a busy pain physician. This review aims to meet this knowledge goal.SummaryKnowledge about normal and impaired hemostasis, coupled with a bleeding risk tool, enables practitioners to make informed decisions when offering interventional pain care to their patients.
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