A 58-year-old with AF on apixaban presents for urgent hip fracture repair. CrCl 65; last dose 10 hours ago. Strategy to minimize bleeding?...

Question

A 58-year-old with AF on apixaban presents for urgent hip fracture repair. CrCl 65; last dose 10 hours ago. Strategy to minimize bleeding?

Accepted Answer

Proceed with surgery balancing risks; consider waiting ~24 hours if feasible

Answer

Delay surgery 5 days

Answer

Administer andexanet alfa routinely

Answer

Give PCC then proceed always

Answer

Switch to warfarin and operate

us-abim MCQ (SBA): Urgent Surgery on DOAC