Revista Colombiana de Anestesiología
versão impressa ISSN 0120-3347
GARCIA ARAQUE, Hans Fred e OLIVEROS ACOSTA, Darío. Anti-platelet Aggregation in Non-Cardiac Surgery. Rev. colomb. anestesiol. [online]. 2011, vol.39, n.4, pp. 561-571. ISSN 0120-3347. http://dx.doi.org/10.5554/rca.v39i4.246.
Objective. To review the indications and perioperative management considerations for anti-platelet aggregation (APT) therapy. Methodology. Using “non-cardiac surgery”, “APT” and “apirine-clopidogrel” as key words, a non-systematic search was conducted in the PubMed/Medline and SciELO databases. Results. APT is used frequently for the management of cardiovascular and non-cardiovascular medical entities. It is important to adopt a clear stance regarding the continuation, change or withdrawal of this therapy in the perioperative context. That decision must be based on a judicious assessment of the risk of bleeding and the risk of perioperative complications secondary to the withdrawal of the antiplatelet agent that has offered the patient adequate management before surgery. Conclusion. In most cases of non-cardiac surgery, withdrawal of aspirin in patients with coronary heart disease, cerebral or peripheral vascular disease must be avoided if the risk of bleeding is considered low or moderate.
Palavras-chave : Blood platelets; platelet aggregation inhibitors; therapeutics; perioperative care.