Assessing Bleeding
– Surgical risk
It is difficult to categorise surgical
procedures into different bleeding risk groups. The ideal assessment should be made by the
surgeon performing the procedure, however when planning the need for bridging
therapy and which treatment to use it is helpful to be able to make some
assessment of the surgical bleeding risk.
The stratification we have used in this
application place procedures into 3 groups.
Low risk
- Minor procedures that can be managed with no interruption of warfarin
or brief cessation for 2 or 3 days
Standard risk – Most surgical procedures
High risk – Procedures with a high risk of
bleeding.
High Risk of Bleeding
The latest
Urological Surgery
Pacemaker or implantable defibrillator
Colonic polyp resection
Surgery in vascular organs
Bowel resection
Major surgery with extensive tissue injury
Cardic surgery
Neurosurgery
Low
Risk of Bleeding
The guidelines suggest that the following
procedures are low risk.
Minor dental procedures including dental
extraction
Minor skin procedures
Cataracts