Which Patients Should Receive Bridging Anticoagulation? – The Hospitalist

Case A 77-year-old woman with a history of stroke five months prior, bileaflet aortic valve prosthesis, hypertension, and insulin-dependent diabetes is admitted for laparoscopy with lysis of adhesions. The patient stopped her warfarin 10 days prior to admission and initiated enoxaparin five days later. When should the enoxaparin be discontinued? Intra-operatively, the surgeon converted the …

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