An 81-year-old woman with a CFS of 5 and hip fracture on Warfarin (INR 2.8) needs surgery within 36 hours. What is the MOST appropriate perioperative ...

Question

An 81-year-old woman with a CFS of 5 and hip fracture on Warfarin (INR 2.8) needs surgery within 36 hours. What is the MOST appropriate perioperative anticoagulation management?

Accepted Answer

Withhold Warfarin and give IV Vitamin K to reverse INR to less than 1.5 before surgery

Answer

Continue Warfarin through surgery

Answer

Stop Warfarin and wait 5 days

Answer

Bridge with therapeutic LMWH

Answer

Give FFP immediately

uk-dgm MCQ (SBA): Perioperative Warfarin Reversal for Hip Fracture

An 81-year-old woman with a CFS of 5 and hip fracture on Warfarin (INR 2.8) needs surgery within 36 hours. What is the MOST appropriate perioperative anticoagulation management?