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Management of bleeding and emergency invasive procedures in patients on dabigatran: Updated guidelines from the French Working Group on Perioperative Haemostasis (GIHP) – September 2016

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Albaladejo, Pierre | Pernod, Gilles | Godier, Anne | de Maistre, Emmanuel | Rosencher, Nadia | Mas, Jean Louis | Fontana, Pierre | Samama, Charles Marc | Steib, Annick | Schlumberger, Sylvie | Marret, Emmanuel | Roullet, Stéphanie | Susen, Sophie | Madi-Jebara, Samia | Nguyen, Philippe | Schved, Jean François | Bonhomme, Fanny | Sié, Pierre | Perioperative Haemostasis, French Working Group On

Edité par CCSD ; Elsevier Masson -

International audience. In 2013, the GIHP published guidelines for the management of severe haemorrhages and emergency surgery. This update applies to patients treated with dabigatran, with a bleeding complication or undergoing an urgent invasive procedure. It includes how to handle the available specific antidote (idarucizumab), when to measure dabigatran plasmatic concentration and when to use non-specific measures in these situations. It also includes guidelines on how to perform regional anaesthesia and analgesia procedures.

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