A 68-year-old with prior DVT on apixaban requires emergent laparotomy. He last took apixaban 4 hours ago. Significant bleeding risk is anticipated. Wh...

Question

A 68-year-old with prior DVT on apixaban requires emergent laparotomy. He last took apixaban 4 hours ago. Significant bleeding risk is anticipated. Which reversal strategy is appropriate?

Accepted Answer

Andexanet alfa if available for factor Xa inhibitor reversal

Answer

Vitamin K IV

Answer

Fresh frozen plasma only

Answer

Prothrombin complex concentrate for dabigatran

Answer

No reversal is ever indicated

us-abem MCQ (SBA): DOAC Reversal (Perioperative)

A 68-year-old with prior DVT on apixaban requires emergent laparotomy. He last took apixaban 4 hours ago. Significant bleeding risk is anticipated. Which reversal strategy is appropriate?