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Department of Anaesthesia, University Hospitals North Midlands, Stoke-on-Trent, Staffordshire, UK
Surgical teams routinely encounter patients on long-term anticoagulation, a population that continues to grow with improved detection of atrial fibrillation and an ageing surgical demographic. The article discusses the shift in prescribing practices from warfarin to direct oral anticoagulants (DOACs) and outlines the management strategies for patients on these medications during the perioperative period. It emphasizes the importance of risk stratification and provides recommendations based on current guidelines.
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