anticoagulation on device implantation

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hallo, i'm an italian nurse..

i would like to ask you how you treat patient in anticoagulant therapy candidated to a device implantation?

have you got some protocols or guide lines about that?

thank you and sorry for my english!

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Not sure exactly what you are looking for here? Are asking about greenfield filter?

http://www.greenfieldfilter.com/

I guess you noticed i like to drop links, I also notice you have no luck getting replies so I hoep this helps.

As for policy in my facility for placing such filters we do them on high risk Pts for PE,or DVT they have to be off anticoagulation long enough for their PT/INR to be safe to operate.

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Specializes in ICU,ANTICOAG,ACUTE STROKE,EDU,RESEARCH.
hallo, i'm an italian nurse..

i would like to ask you how you treat patient in anticoagulant therapy candidated to a device implantation?

have you got some protocols or guide lines about that?

thank you and sorry for my english!

For such procedures the coumadin/warfarin should be stopped 3 days prior to the procedure and INR on day of procedure should be lower than 1.5.

For pts at high risk of clots ie those who are on ranges of 3-4 we cover them with DAILYLow molecular weight heparin lmwhfrom the day after they take their last dose of warfarin UNTIL THEIR INR IS BACK WITHIN THERAPEUTIC RANGE. tHE lmwh should not be given till after the procedure on the day opf the procedure.Once they have had procedure and they are OK then the warfarin can resart at their usual dose.WE do have a protocol to help us manage ptsfor a variety of procedures

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hallo, i'm an italian nurse..

i would like to ask you how you treat patient in anticoagulant therapy candidated to a device implantation?

have you got some protocols or guide lines about that?

thank you and sorry for my english!

Hi Sarocci!

I work on a cardiac surgery stepdown unit. The unit I work on does not have a protocol in place in regards to anticoagulated pt.s for device implantation. It is really up to each individual MD. I know some docs who prefer Phytonadione (Vit K) po and others who like to give IV Phytonadione po (pediatric IV dose). These choices are made when the pt can wait for the procedure. In more emergent cases, FFP (fresh frozen plasma) is given. It all depends on the pts PT/INR, the doctor, and the procedure that needs to be done. :)

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