Do u hold prophylactic sqh/lovenox b4 surgery?

[europeman]

Assuming your patient doesn't need a spinal, so you still operate if your patient relieved morning dvt chemo prophylaxis? Do you request it to be held? Does it depend on the case?

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[hanky1982]

Depends on case of course. Usually trauma guys don't care what they receive. Everyone else at my institution holds lovenox 24 hours before surgery. Heparin is held 8 hours before. Aspirin is held 7 days before and Coumadin is held until INR< 1.5. With spines we are much more observant of when they last got prophylaxis.