Patient Management for Medical Procedures

Due to the unique characteristics of warfarin and the new oral anticoagulants, preparation for medical procedures and surgery requires a thoughtful and deliberate approach to care. A sound knowledge of the characteristics, half-life and side effects of the medications as well as the requirements for the desired procedure/surgery must be considered. Appropriate adjustments to medical therapies, close monitoring of patient status (pre- and post-operatively) and a coordinated plan for comprehensive anticoagulation management are essential to optimum patient outcomes.

What is the urgency of the procedure/surgery?

How can any bleeding risk be effectively managed while minimizing the stroke risk during this period?

What are the essential information elements that need to be considered when bridging a patient on anticoagulation therapy for a procedure/surgery?



What is VTE?

To help you understand more about VTEs (which are basically blood clots), and feel more comfortable about your health, we invite you to view this brief Emmi® program. Emmi programs support you in managing your care and will answer many of the questions you may have. You can watch it as many times as you like and share it with your family and friends.

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Document:  Patient VTE Video
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guideline Clinical App

The ACC's new Guideline Clinical App is the mobile home of clinical guideline content and tools for clinicians caring for patients with cardiovascular disease. You can access guideline recommendations, “10 Points” summaries, and tools such as risk scores, calculators and algorithms. Customize your App by using the bookmark, note-taking, and shareable PDF features.  

The App is available for free in the iTunes (iPhone, iPad) and Google Play (Galaxy, Nexus, other Android devices) app stores. Google Play at https://play.google.com/store/apps/details?id=com.bbi.accorg.cardiosource.american_college_of_cardiology&hl=en 

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Link:  https://itunes.apple.com/us/app/acc-guideline-clinical-app/id931723742?mt=8
Audience(s):
Clinicians
Educators

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

My AFib Experience

This is a great patient resource which will help you learn more about AFib and set individual wellness goals.

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Link:  http://myafibexperience.org/home
Audience(s):
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guideline Tool Electronic Version

Changes and modifications of importance for the primary care and cardiology settings.  This is an interactive version.

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Link:  http://ipmaanticoagmgmtwww.web3.engagewebsites.com/media/67155/8533guidelinetoolelectronic-2.pdf
Audience(s):
Clinicians
Educators

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guideline Tool Print Version

Changes and modifications of importance for the primary care and cardiology settings.  This is a print version.

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Link:  http://ipmaanticoagmgmtwww.web3.engagewebsites.com/media/67158/8533guidelinetoolprint.pdf
Audience(s):
Clinicians
Educators

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Clinical Practice Guidelines

References with links to full texts of ACC, ACCP, AHA, ESC, HRS, and other guidelines on anticoagulation in patients with atrial fibrillation (TEAM-A tool 108)

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Document:  108-Clinical Practice Guidelines.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Guidelines: Management of Patients with Atrial Fibrillation-2014

American Heart Association/American College of Cardiology/Heart Rhythm Society guideline (2014; tool 118)

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Link:  http://content.onlinejacc.org/article.aspx?articleid=1854231
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Anticoagulation Decision Support Worksheet

Assessment of stroke risk and bleed risk, for patients with atrial fibrillation (American College of Physicians Foundation; tool 210)

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Link:  http://www.acpfoundation.org/afib/briefing/afib-worksheet.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Afib Toolkit

Online resource created by Science and Quality Division of the American College of Cardiology (tool 233)

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Link:  http://cardiosource.org/afibtools?w_nav=Blog
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Is Anticoagulation Right for You

Decision support and patient education tool addressing risk of stroke and bleeding, apixaban, aspirin, clopidogrel, dabigatran, edoxaban, rivaroxaban, and warfarin (TEAM-A tool 326)

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Document:  326- Is Anticoagulation Right for You 12.03.2013.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Slide Deck

Slides on anticoagulation in patients with atrial fibrillation (TEAM-A tool 414) last updated June 2015.  Slides do not have speaker notes.

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Document:  414 Slide Deck
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment

Practical Guide on New Oral Anticoagulants

Executive summary of a practical guide (European Heart Rhythm Association, 2013; tool 250)

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Link:  http://eurheartj.oxfordjournals.org/content/early/2013/04/25/eurheartj.eht134
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures

Patient Pocket Cards

Oral anticoagulation card in English, Spanish and Creole (Broward Health, Florida; TEAM-A tool 328)

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Document:  328-Patient Pocket Cards 12.17.2013.pdf
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures

Slide Deck (pdf)

PDF of slides on anticoagulation in patients with atrial fibrillation (TEAM-A tool 414) last updated June 2015.  Includes speaker notes.

more...

Document:  PDF Slide deck
Audience(s):
Clinicians
Educators
Patients

Resource Type(s):
Bleed Risk
Medication Information
Patient Management for Medical Procedures
Stroke Risk Assessment