Ulus Travma Acil Cerrahi Derg. 2013; 19(5): 469-471 | DOI: 10.5505/tjtes.2013.59908

Dabigatran ile antikoagüle edilen hastada acil karýn cerrahisi

Jonas Paul DeMuro
Winthrop Üniversitesi Hastanesi, Genel Cerrahi Anabilim Dalý, Travma Ve Yoðun Bakým Anabilim Dalý, New York, Amerika

Dabigatran, kronik atriyum fibrilasyonunda antikoagülasyon için kullanýlan yeni bir pýhtý önleyici ilaçtýr. Dabitagran alan bir hastada acil laparotomi deneyimi sunulmaktadýr. Bu ilaç tedavisinin zorluklarý ve bu direkt trombin inhibitörü nedeniyle oluþan koagülopati ile baþa çýkma stratejileri tanýmlanmýþtýr.

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

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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.

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