Resumen

PEREZ DELGADO, Yanet; MURADAS AUGIER, Marilét  y  SOTOLONGO MOLINA, Yolanda. Anticoagulant and antiplatelet agents: considerations in the patient operated on. Rev cuba anestesiol reanim [online]. 2011, vol.10, n.1, pp. 21-33. ISSN 1726-6718.

The modifying drugs of the hemostasis have many indications in cardiovascular diseases, thus the anesthesiologist confronts a patient with this treatment requiring a surgical intervention. Objective: To update the information on perioperative behavior of patients treated with anticoagulant and antiaggregant drugs. Development: For that reason, the bibliography related to this subject through the Nation Network of Medical Information and its links. The perioperative is a period of high thrombotic risk. A patient at risk and without the proper antiaggregant or anticoagulant coverage faced a great risk of cardiac, cerebral or peripheral vascular complications. The concept that the antiaggregant drug must to be suppressed always must to be analyzed as well as those rule out the practice of the regional anesthesia in patients requiring thromboprophylaxis. All strategy must to be individualized and not systematized. Conclusions: The anesthesiologist and the surgeon must to assess in detail the hemorrhagic risk of the surgical intervention, as well as the thrombotic risk of the anticoagulant and antiaggregant drug suppression always in the particular context of each patient in its specific circumstance.

Palabras clave : Anticoagulants; antiplatelet; surgical patient.

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