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Advanced Technical IVT

bridging anticoagulation

Temporary anticoagulant therapy used during perioperative periods when long-term anticoagulation must be interrupted.

Full Definition

The practice of administering short-acting anticoagulants (typically heparin or low molecular weight heparin) during the perioperative period when patients on chronic anticoagulation require temporary discontinuation of their usual therapy. This strategy aims to minimize both thromboembolic risk and bleeding complications in acute care surgical patients with underlying conditions requiring anticoagulation.

Usage

Usage note: Often requires specific timing protocols; ensure documentation includes start/stop times and monitoring parameters.

In Context

  • "The patient's bridging anticoagulation protocol was initiated 48 hours postoperatively following hemostasis confirmation." — postoperative care plan
  • "Risk stratification determined that bridging anticoagulation was unnecessary for this low-risk procedure." — preoperative assessment

Also known as

periprocedural anticoagulation transitional anticoagulation

Contrasted with

anticoagulation reversal

Don't confuse with

prophylactic anticoagulation therapeutic anticoagulation

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