Regional anesthesia
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Regional anesthesia · Nov 1996
Hemostasis-altering drugs and central neural block. A survey of anesthetic practice in Scotland and the United Kingdom.
There is debate regarding the use of central neural block in the presence of hemostasis-altering drugs. This study aims to examine current practice. ⋯ There is general agreement regarding contraindication of central neural block in the presence of full anticoagulation with either heparin or warfarin, but there is less consensus about the use of central neural block in the presence of low-dose subcutaneous heparin. There is some confusion about the role of aspirin and its duration of action.