NOAC's and neuraxial timeline

[lgher]

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Hey guys,

I've found this to be a controversial subject at different hospitals I've worked at. We know that ASRA recommends stopping apixaban 3 days prior to neuraxial anesthesia (and dabigatran 5 days)...

So if a patient is having a total joint done on the 10th of the month for example...would the last dose of apixaban be on the 6th (so that 3 doses are missed eg. 7th, 8th and 9th) or the 7th (so that there is 72hrs between the last dose of apixaban and the neuraxial procedure)..

thanks

 

[deleted875186]

Last dose on 7th ... 72 yrs off meds so long as good kidney function.