SCCM Resource Library-The Balancing Act Between Bleeding and Thrombosis: Difficult Anticoagulation Cases in the ICU

The Balancing Act Between Bleeding and Thrombosis: Difficult Anticoagulation Cases in the ICU

Video Transcription

Video Summary

In this video, Dr. Javier Lorenzo moderates a discussion with Dr. Gerald Levy and Brian Gilbert on difficult thrombosis cases in the intensive care unit (ICU). They discuss the impact of COVID-19 on coagulation, management of patients on novel oral anticoagulants, and the challenges of managing thrombosis in pregnancy. The speakers emphasize the importance of determining the specific anticoagulant a patient is taking and using objective biomarkers to guide therapy. They highlight the need for multimodal therapy in bleeding patients and caution against switching to bivalirudin when heparin resistance is encountered. The discussion also involves the use of argatroban in pregnant patients and the importance of starting VTE prophylaxis as soon as possible. The speakers urge clinicians to consider extended prophylaxis post-discharge and to prioritize their own wellness by enjoying hobbies and spending time outdoors.

Asset Subtitle

Hematology, Crisis Management, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

These educational sessions present a wide range of critical care topics discussed by faculty from SCCM sections and are moderated by Clinical Pharmacy and Pharmacology Section leaders.

Brian W. Gilbert

Jerrold H. Levy

Meta Tag

Content Type Presentation

Knowledge Area Hematology

Knowledge Area Crisis Management

Knowledge Level Advanced

Membership Level Select

Tag Anticoagulation

Tag COVID-19

Year 2021

Keywords

thrombosis cases

intensive care unit

COVID-19

coagulation

management

novel oral anticoagulants

thrombosis in pregnancy

anticoagulant

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