Emergency abdominal surgery in a patient anticoagulated with dabigatran [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2013; 19(5): 469-471 | DOI: 10.5505/tjtes.2013.59908  

Emergency abdominal surgery in a patient anticoagulated with dabigatran

Jonas Paul DeMuro
Department Of Surgery, Division Of Trauma & Critical Care, Winthrop University Hospital, Mineola, New York, Usa

Dabigatran is a newer oral anticoagulant, indicated for chronic atrial fibrillation anticoagulation. Experience with an emergent laparotomy in a patient on dabigatran is presented. Difficulties of this medication and strategies to deal with the coagulopathy from this direct thrombin inhibitor are described.

Keywords: Coagulopathy, dabigatran, direct thrombin inhibitor, perioperative bleeding, reversal of coagulopathy.


Dabigatran ile antikoagüle edilen hastada acil karın cerrahisi

Jonas Paul DeMuro
Winthrop Üniversitesi Hastanesi, Genel Cerrahi Anabilim Dalı, Travma Ve Yoğun Bakım Anabilim Dalı, New York, Amerika

Dabigatran, kronik atriyum fibrilasyonunda antikoagülasyon için kullanılan yeni bir pıhtı önleyici ilaçtır. Dabitagran alan bir hastada acil laparotomi deneyimi sunulmaktadır. Bu ilaç tedavisinin zorlukları ve bu direkt trombin inhibitörü nedeniyle oluşan koagülopati ile başa çıkma stratejileri tanımlanmıştır.

Anahtar Kelimeler: Koagülopati, dabigatran, direkt trombin inhibitörü, perioperatif kanama, koagülopati sürecinin çevrimi.


Jonas Paul DeMuro. Emergency abdominal surgery in a patient anticoagulated with dabigatran. Ulus Travma Acil Cerrahi Derg. 2013; 19(5): 469-471

Corresponding Author: Jonas Paul DeMuro, United States


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