Rivaroxaban Neuraxial Timing — FRCA Final MCQ

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ModerateRegional AnaesthesiaRivaroxaban Neuraxial TimingFRCA Final

A 70-year-old on rivaroxaban 20 mg daily for AF requires lumbar epidural. Minimum interval between last dose and insertion per ESRA?

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Correct answer: E — 22-26 hours

ESRA 2022: minimum 22-26h between last rivaroxaban and neuraxial procedure. Post-procedure, rivaroxaban withheld ≥6h after catheter removal. Principle: ensure negligible anti-Xa activity before instrumentation.

Reference: ESRA – 2022 – Neuraxial anaesthesia and anticoagulant agents