{"id":933,"date":"2016-04-04T16:58:16","date_gmt":"2016-04-04T16:58:16","guid":{"rendered":"http:\/\/hfhpulm.com\/info\/?p=933"},"modified":"2016-04-04T17:00:30","modified_gmt":"2016-04-04T17:00:30","slug":"anticoagulants-bronchoscopy","status":"publish","type":"post","link":"https:\/\/hfhpulm.com\/info\/?p=933","title":{"rendered":"ANTICOAGULANTS AND BRONCHOSCOPY"},"content":{"rendered":"\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
<\/td>\n\u00a0LAST DOSE BEFORE BRONCHOSCOPY<<\/strong><\/td>\nTIME TO RESTART MEDICATIONS AFTER BRONCHOSCOPY WITH BIOPSIES<\/strong><\/td>\n<\/tr>\n
Heparin SubQ<\/td>\nNo Need to stop<\/td>\nNot applicable<\/td>\n<\/tr>\n
Enoxaparin 1mg\/Kg SubQ BID<\/td>\n> 24 hours<\/td>\n> 12 hours<\/td>\n<\/tr>\n
Enoxaparin 1.5mg\/Kg SubQ QD<\/td>\n> 24 hours<\/td>\n> 12 hours<\/td>\n<\/tr>\n
Warfarin (Coumadin)<\/td>\n5 days (confirm INR < 1.5)<\/td>\nimmediately<\/td>\n<\/tr>\n
Heparin IV<\/td>\n> 4 hours (check PTT)<\/td>\n> 4 hours (no bolus)<\/td>\n<\/tr>\n
Fondaparinux (Arixtra)<\/td>\n> 48 hours<\/td>\n> 12 hours<\/td>\n<\/tr>\n
Rivaroxaban (Xarelto)<\/td>\n> 36 hours<\/td>\n> 24 hours<\/td>\n<\/tr>\n
Apixaban (Eliquis)<\/td>\n3 days<\/td>\n> 12 hours<\/td>\n<\/tr>\n
Streptokinase (Local)<\/td>\nNo Need to stop<\/td>\n<\/tr>\n
Alteplase (Local)<\/td>\nNo Need to stop<\/td>\n<\/tr>\n
Alteplase (Systemic)<\/td>\n10 days<\/td>\n10 days<\/td>\n<\/tr>\n
Streptokinase (Systemic)<\/td>\n10 days<\/td>\n10 days<\/td>\n<\/tr>\n
Urokinase (Systemic)<\/td>\n10 days<\/td>\n10 days<\/td>\n<\/tr>\n
Aspirin<\/td>\nNo Need to stop<\/td>\n<\/tr>\n
NSAID<\/td>\nNo Need to stop<\/td>\n<\/tr>\n
ASA\/Dipyridamole (Aggrenox)<\/td>\n> 24 hours<\/td>\nimmediately<\/td>\n<\/tr>\n
Abciximab (Reopro)<\/td>\n> 48 hours (check platelet\/PTT)<\/td>\n> 4 hours<\/td>\n<\/tr>\n
Cilostazol (Pletal)<\/td>\n5 days<\/td>\n> 6 hours<\/td>\n<\/tr>\n
Clopidogrel (Plavix)<\/td>\n7 days<\/td>\nimmediately<\/td>\n<\/tr>\n
Eptifibatide (Integrilin)<\/td>\n8 hours (check Platelet\/PTT)<\/td>\n> 4 hours<\/td>\n<\/tr>\n
Tirofiban (Aggrastat)<\/td>\n8 hours (check Platelet\/PTT)<\/td>\n> 4 hours<\/td>\n<\/tr>\n
Ticagrelor (Brilinta)<\/td>\n> 7 days<\/td>\n> 6 hours<\/td>\n<\/tr>\n
Ticlopidine (Ticlid)<\/td>\n14 days<\/td>\nimmediately<\/td>\n<\/tr>\n
Prasugrel (Effient)<\/td>\n10 days<\/td>\n> 8 hours<\/td>\n<\/tr>\n
Argatroban (Acova)<\/td>\n> 4 hours (check PTT)<\/td>\n> 2 hours<\/td>\n<\/tr>\n
Dagitraban (Pradaxa)<\/td>\n7 days<\/td>\n> 6 hours<\/td>\n<\/tr>\n
Bevalirudin (Angiomax)<\/td>\n> 10 hours<\/td>\n> 4 hours<\/td>\n<\/tr>\n
Desirudin (Revasc)<\/td>\n> 10 hours<\/td>\n> 4 hours<\/td>\n<\/tr>\n
Lepirudin (Refludan)<\/td>\n> 10 hours<\/td>\n> 4 hours<\/td>\n<\/tr>\n
Time to resume anticoagulants COULD BE CHANGED by physician<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n\n\n\n\n
References:<\/td>\n<\/tr>\n
Regional Anesthesia and Antithrombotic Agents.: Recommendations of the European Society of Anesthesiology. European Journal of Anaesthesiology 2010; 27: 999-1015<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

 LAST DOSE BEFORE BRONCHOSCOPY< TIME TO RESTART MEDICATIONS AFTER BRONCHOSCOPY WITH BIOPSIES Heparin SubQ No Need to stop Not applicable Enoxaparin 1mg\/Kg SubQ BID > 24 hours > 12 hours Enoxaparin 1.5mg\/Kg SubQ QD > 24 hours > 12 hours Warfarin (Coumadin) 5 days (confirm INR < 1.5) immediately Heparin IV > 4 hours (check […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-933","post","type-post","status-publish","format-standard","hentry","category-bronchoscopy"],"modified_by":"Jennings","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/933","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=933"}],"version-history":[{"count":4,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/933\/revisions"}],"predecessor-version":[{"id":937,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/933\/revisions\/937"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=933"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=933"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=933"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}