Perioperative management of adult patients with a history of stroke or transient ischaemic attack undergoing elective non-cardiac surgery
Zehra Mehdi, Jonathan Birns, Judith Partridge, Ajay Bhalla and Jugdeep Dhesi
DOI: https://doi.org/10.7861/clinmedicine.16-6-535
Clin Med December 2016 Zehra Mehdi
ADepartment of Ageing and Health, St Thomas’ Hospital, London, UK
Roles: specialist trainee in stroke medicine, geriatrics and general medicine
Jonathan Birns
BDepartment of Ageing and Health, St Thomas’ Hospital, London, UK
Roles: consultant in stroke medicine, geriatrics and general medicine
Judith Partridge
CDepartment of Ageing and Health, St Thomas’ Hospital, London, UK
Roles: consultant in geriatrics and general medicine
Ajay Bhalla
BDepartment of Ageing and Health, St Thomas’ Hospital, London, UK
Roles: consultant in stroke medicine, geriatrics and general medicine
Jugdeep Dhesi
CDepartment of Ageing and Health, St Thomas’ Hospital, London, UK
DDivision of Health and Social Care Research, Kings College London, London, UK
Roles: honorary senior lecturer
Article Information
vol. 16 no. 6 535-540
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History:
- Published online December 7, 2016.
Copyright & Usage:
© Royal College of Physicians 2016. All rights reserved.
Author Information
- Zehra Mehdi, specialist trainee in stroke medicine, geriatrics and general medicineA⇑,
- Jonathan Birns, consultant in stroke medicine, geriatrics and general medicineB,
- Judith Partridge, consultant in geriatrics and general medicineC,
- Ajay Bhalla, consultant in stroke medicine, geriatrics and general medicineB and
- Jugdeep Dhesi, honorary senior lecturerCD
- ADepartment of Ageing and Health, St Thomas’ Hospital, London, UK
- BDepartment of Ageing and Health, St Thomas’ Hospital, London, UK
- CDepartment of Ageing and Health, St Thomas’ Hospital, London, UK
- DDivision of Health and Social Care Research, Kings College London, London, UK
- Address for correspondence: Dr Z Mehdi, Department of Ageing & Health, St Thomas’ Hospital, London SE1 7EH, UK. Email: zehra_mehdi{at}hotmail.com
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Perioperative management of adult patients with a history of stroke or transient ischaemic attack undergoing elective non-cardiac surgery
Zehra Mehdi, Jonathan Birns, Judith Partridge, Ajay Bhalla, Jugdeep Dhesi
Clinical Medicine Dec 2016, 16 (6) 535-540; DOI: 10.7861/clinmedicine.16-6-535
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- Article
- ABSTRACT
- Introduction
- Timing of elective surgery following a recent stroke
- Preoperative carotid artery revascularisation
- Perioperative management of antiplatelet agents
- Aspirin
- Other antiplatelet agents
- Perioperative management of oral anticoagulants
- Vitamin K antagonists
- Non-vitamin K oral anticoagulants
- Intraoperative and postoperative considerations
- Preoperative assessment of patients with a prior history of stroke or TIA
- Discussion
- Conflicts of interest
- Supplementary material
- References
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