Acta clinica Croatica, Vol. 60. No. 4., 2021.
Pregledni rad
https://doi.org/10.20471/acc.2021.60.04.23
Ambulatory Eye Surgery and Antithrombotic Therapy – New Approaches
Tatjana Šimurina
orcid.org/0000-0002-2657-5537
; Department of Anesthesiology, Resuscitation, Intensive Medicine and Pain Management, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Health Studies, University of Zadar, Zadar, Croatia; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Zadar General Hospital, Zadar, Croatia
Marija Danilović Luketić
orcid.org/0000-0003-2652-8199
; Department of Anesthesiology, Resuscitation, Intensive Medicine and Pain Management, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Požega General County Hospital, Požega, Croatia
Sandra Graf Župčić
; School of Medicine, University of Rijeka, Rijeka, Croatia; Department of Neurology, Rijeka University Hospital Center, Rijeka, Croatia
Boris Mraović
orcid.org/0000-0003-4019-4084
; Department of Anesthesiology and Perioperative Medicine, School of Medicine, University of Missouri, Columbia, USA
Sažetak
One of the most common surgeries in elderly patients is eye surgery. An increasing
number of patients undergoing ambulatory eye surgery are on antithrombotic therapy. These drugs
may increase the risk of perioperative bleeding associated with ophthalmic needle blocks and/or eye
surgery. Intraoperative bleeding and postoperative hemorrhagic complications may lead to the loss of
vision or even eyes. On the other hand, stopping anticoagulants and antiplatelets before the surgery
may increase the risk of thrombotic events with potentially life-threatening complications. The aim of
this narrative review is to provide a systematic review of the published evidence for the perioperative
antithrombotic management of patients undergoing different types of eye surgery in ambulatory settings.
A comprehensive review of the English-language medical literature search utilizing PubMed,
Ovid Medline® and Google Scholar from January 2015 to December 2018 was performed. The database
searches included studies providing evidence relevant to ambulatory eye surgery and perioperative
antiplatelet medications and anticoagulants. Updated recommendations will be given for continuation,
discontinuation, and modification of antithrombotic agents in order to optimize the management
of antithrombotic therapies in outpatients scheduled for eye surgery.
Ključne riječi
Surgical procedure, ophthalmologic; Ambulatory surgery; Anesthesia, regional; Anticoagulants; Agents, antiplatelet
Hrčak ID:
275550
URI
Datum izdavanja:
1.12.2021.
Posjeta: 925 *