A 68-year-old woman with AF on apixaban requires urgent hip fracture surgery in 8 hours. eGFR 70. Best perioperative anticoagulation management?...

Question

A 68-year-old woman with AF on apixaban requires urgent hip fracture surgery in 8 hours. eGFR 70. Best perioperative anticoagulation management?

Accepted Answer

Proceed; time since last dose likely sufficient and use neuraxial with caution

Answer

Give PCC to reverse apixaban

Answer

Delay surgery for 48 hours

Answer

Switch to IV heparin until surgery

Answer

Administer idarucizumab

prescribing safety assessment MCQ (SBA): Perioperative DOAC management