A 72-year-old woman with atrial fibrillation and previous stroke is admitted with a hip fracture after a fall. She has been on Warfarin with INR 2.5. ...

Question

A 72-year-old woman with atrial fibrillation and previous stroke is admitted with a hip fracture after a fall. She has been on Warfarin with INR 2.5. Urgent surgery is planned. What is the most appropriate management of her anticoagulation?

Accepted Answer

Reverse Warfarin with Vitamin K and/or Prothrombin Complex Concentrate as per local protocol and proceed to surgery

Answer

Proceed to surgery without alteration to Warfarin

Answer

Delay surgery until Warfarin wears off naturally over 5 days

Answer

Switch to Aspirin immediately before surgery

Answer

Give no reversal and accept bleeding risk

uk-plab-1 MCQ (SBA): Warfarin reversal for emergency surgery

A 72-year-old woman with atrial fibrillation and previous stroke is admitted with a hip fracture after a fall. She has been on Warfarin with INR 2.5. Urgent surgery is planned. What is the most appropriate management of her anticoagulation?