Cardiothoracic & vascular anesthesia

Systemic Heparinization After Neuraxial Anesthesia in Vascular Surgery: A Retrospective Analysis

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The vast majority of vascular surgery patients at the authors' center received heparin within 1 hour of NA.

Study context

Population
Vascular surgery patients receiving neuraxial anesthesia before systemic heparinization, single academic center, April 2012–April 2022311 reviewed
Participants
127 patients
Exposure
Femoral-femoral bypass vs femoral-popliteal bypass vs EVAR
  • Femoral-femoral bypassn = 5
  • Femoral-popliteal bypassn = 67
  • EVARn = 55
Outcome
Time interval between neuraxial anesthesia and systemic heparinization
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Time between NA and heparin administration

Time between NA and heparin administration

Heparin after 1 hour of NA femoral-femoral bypass 20% · femoral-popliteal bypass 27% · EVAR 3.9%

Average time between neuraxial anesthesia (NA) and heparin administration, all patients (minutes)
42.8 ± 22.1
Patients receiving heparin within 1 hour of NA
83.7%

Observational data: associations, not effects.

Safety

Spinal hematoma

No spinal hematoma (SHs) reported during the study period

Original publication

Systemic Heparinization After Neuraxial Anesthesia in Vascular Surgery: A Retrospective Analysis. J Cardiothorac Vasc Anesth. Published 18 December 2022. doi:10.1053/j.jvca.2022.12.011

Composed by AI from the published abstract and checked against it. How Briefs are made →

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