Bridging with clexane for surgery

[tassie]

I have a day procedure coming up next week and I'm meant to bridge with clexane. Stop warfarin 3 days before surgery and start clexane. The doctor didn't say what to do at the other side of the procedure. Do I take both clexane and warfarin until my INR is back in range?

[daisyd]

You really need to check with your Doctor, I had to have both until back in range but everyone is different

[MaryF Administrator]

I agree with this and if you have it to hand, they can't fail but to abide by it and or call the duty Haematologist for further clarification, as even with the best setting up, it can get lost in translation between staff and shifts with dire consequences. MaryF

[tassie in reply to MaryF]

I doubt very much the hospital will have any idea as they don't seem to have any experience with APLS.

It's a day procedure so it will be up to me really what I do unless something goes wrong and I have to be admitted for longer.

APSnotFab where would I find this protocol online?

[tassie in reply to tassie]

ah I see there is a pinned post

[Wittycjt]

Just posted a site to get this info on the news feed

[Fra22-57]

I was that person tassie and I showed the ward the protocol but they just insisted the medication was not prescribed even thou physician had given the ok . Finally got back on tinzaparin (clexane ) and warfarin 33 hours later which was worrying. Hope yours goes ok

[tassie in reply to Fra22-57]

That is a real worry