Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
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J. Oral Maxillofac. Surg. · Feb 2008
Use of peripherally inserted central catheters in the management of recalcitrant maxillofacial infection.
The most common short-term method for the delivery of parenteral antimicrobial therapy in an acute hospitalized patient has traditionally been via a short peripherally inserted intravenous cannula. This approach, however, has significant limitations, particularly in patients who require prolonged, uninterrupted intravenous access. In this article, we report on our experience with an alternative method used to establish and maintain medium- to long-term intravenous access utilizing a peripherally inserted central catheter (PICC) to treat patients presenting with aggressive or recalcitrant maxillofacial head and neck infections. ⋯ PICC is a safe and most reliable means of administering medium- to long-term intravenous antibiotics. We feel PICC-based therapy should be considered in the management of select patients with aggressive or recalcitrant maxillofacial head and neck sepsis.
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J. Oral Maxillofac. Surg. · Jan 2008
Multicenter StudyHemostatic management of tooth extractions in patients on oral antithrombotic therapy.
We examined hemostatic management for tooth extraction in patients maintained on oral antithrombotic therapy. ⋯ A sufficient hemostasis can be obtained in most cases of tooth extraction under anticoagulant therapy with warfarin (INR <3.0) and antiplatelet drugs. Moreover, appropriate local hemostatic methods can be successful when postoperative hemorrhage occurs.