A 75-year-old with atrial fibrillation is planned for elective hip arthroplasty. She is on apixaban for stroke prevention, normal renal function. What...

Question

A 75-year-old with atrial fibrillation is planned for elective hip arthroplasty. She is on apixaban for stroke prevention, normal renal function. What perioperative plan is appropriate for major surgery?

Accepted Answer

Stop apixaban 48 hours before and restart post-op when haemostasis secured

Answer

Continue apixaban throughout

Answer

Bridge with therapeutic LMWH after stopping apixaban

Answer

Stop 12 hours before

Answer

Switch to warfarin for surgery

prescribing safety assessment MCQ (SBA): Perioperative Anticoagulation (DOAC)

A 75-year-old with atrial fibrillation is planned for elective hip arthroplasty. She is on apixaban for stroke prevention, normal renal function. What perioperative plan is appropriate for major surgery?