Hello from Canada.
I'm curious to hear what prevailing practice is with regards to perioperative aspirin management in patients who are taking it as secondary prevention (eg. past Hx of stroke). POISE-2 doesn't really help with this question and I can't find good evidence to guide practice on this question. My concern arises from a several patients on ASA with a history of stroke who have been advised by preop RNs to stop their aspirin (without consulting me). These have been patients coming for minor surgery (eg. inguinal hernias).
Are most folk continuing ASA in this population for low bleeding risk surgery? Again, I'm concerned about stroke risk in those with previous events.
Thanks for your thoughts,
UBCmed09
I'm curious to hear what prevailing practice is with regards to perioperative aspirin management in patients who are taking it as secondary prevention (eg. past Hx of stroke). POISE-2 doesn't really help with this question and I can't find good evidence to guide practice on this question. My concern arises from a several patients on ASA with a history of stroke who have been advised by preop RNs to stop their aspirin (without consulting me). These have been patients coming for minor surgery (eg. inguinal hernias).
Are most folk continuing ASA in this population for low bleeding risk surgery? Again, I'm concerned about stroke risk in those with previous events.
Thanks for your thoughts,
UBCmed09