Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Stopping anticoagulants before medical procedures: No easy ‘recipe’
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Heartbeat
Stopping anticoagulants before medical procedures: No easy ‘recipe’
Wednesday 15 February 2023, 12:30 AM

[ECG supplied]
Consultant cardiologist Chris Ellis examines the details of withholding anticoagulant medication prior to an invasive procedure, where the risk of bleeding versus thrombosis must be carefully balanced
Key points, Careful judgement is required to determine how long to withhold anticoagulants for perioperative management of patients in atrial fibrillation.
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Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
BPACnz and Pharmac. Guidelines for testing and perioperative management of dabigatran and rivaroxaban: for possible use in local management protocols. 2018. bpac.org.nz/2018/bleeding-guidelines.aspx