SCCM Resource Library-Is It Bloody Confusing? Timing of Anticoagulation Prophylaxis and Reversal of Intracranial Hemorrhage

Is It Bloody Confusing? Timing of Anticoagulation Prophylaxis and Reversal of Intracranial Hemorrhage

Video Transcription

Video Summary

Dr. Gretchen Brophy discusses the timing of anticoagulation prophylaxis and reversal for intracranial hemorrhage. She explains the different anticoagulation agents currently in use and the strategies for reversing them in patients with intracranial bleeds. Dr. Brophy also addresses when it is appropriate to utilize these reversal agents and when it is safe to start venous thromboembolism prophylaxis in neurocritical care patients with life-threatening bleeds. Factors such as the patient's last dose of anticoagulant, pharmacokinetic characteristics, and monitoring parameters are important considerations in determining the need for a reversal agent. Additionally, Dr. Brophy discusses the importance of VTE prophylaxis in patients with intracranial hemorrhage, highlighting the benefits of early initiation. The type of prophylaxis, such as unfractionated heparin or low molecular weight heparin, should be selected based on the patient's specific condition. Overall, timing is crucial in managing anticoagulation and VTE prophylaxis in patients with intracranial hemorrhage to balance the risk of bleeding with the risk of clotting.

Asset Subtitle

Neuroscience, Hematology, 2022

Asset Caption

Several controversies and cutting-edge solutions exist in traumatic brain injury management. This session will highlight the issues, challenges, and solutions in the monitoring and management of occult seizure and anticoagulation and the implementation of the brain injury guidelines across healthcare regions.

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Area Hematology

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Traumatic Brain Injury TBI

Tag Seizure

Tag Anticoagulation

Year 2022

Keywords

anticoagulation prophylaxis

reversal

intracranial hemorrhage

anticoagulation agents

venous thromboembolism prophylaxis

VTE prophylaxis

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