4.4
Antiplatelets
- Consider coordinating with physician and surgeon to establish a plan regarding adjusting antiplatelets for an elective procedure, balancing the risk between re‐thrombosis and perioperative hemostasis
 - If antiplatelets and/or anticoagulants are to be continued perioperatively, consider the following local hemostasis techniques:
- Local anesthetics with vasoconstrictors
 - Hemostatic agents
- Topical thrombin
 - Oxidized cellulose (Surgicel®)
 - Absorbable gelatin (GelFoam®)
 - Absorbable collagen (CollaTape®)
 
 - Primary closure
 - Cautery
 - Staging the procedure
 
 
Cyclooxygenase (COX) Inhibitors (NSAIDs)
- Mechanism of Action (Figure 4.8)
 
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