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Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Third Edition).

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TLDR
The ASRA consensus statements represent the collective experience of recognized experts in the field of neuraxial anesthesia and anticoagulation and are based on case reports, clinical series, pharmacology, hematology, and risk factors for surgical bleeding.
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This article is published in Regional Anesthesia and Pain Medicine.The article was published on 2010-01-01. It has received 1319 citations till now. The article focuses on the topics: Neuraxial blockade & Anesthesiology.

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Journal ArticleDOI

Epidural analgesia in vascular surgery patients actively taking clopidogrel

TL;DR: Owing to the small sample size, this study cannot recommend the liberal use of epidural analgesia with ongoing clopidogrel administration at this time, and further prospective studies are needed in order to substantiate the findings.
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Paraplegia following epidural analgesia.

TL;DR: The report of paraplegia following epidural analgesia infers an extremely serious allegation about the most significant method of obstetric analgesia currently practised and is so deficient in obstetric, anaesthetic, neurological, psychiatric and medical details that the diagnosis must be questioned.
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Anticoagulant effect at the time of epidural catheter removal in patients receiving twice-daily or once-daily low-molecular-weight heparin and continuous epidural analgesia after orthopedic surgery.

TL;DR: It is concluded that in patients who are receiving co-administered LMWH and CEA after orthopedic surgery, twice-daily but not once-daily LMWH administration is more likely to be associated with a clinically important anticoagulant effect at the time of epidural catheter removal.
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Epidural hematoma after outpatient epidural anesthesia.

TL;DR: Epidural hematoma is a rare complication of epidural anesthesia in healthy patients and patients should be instructed to communicate symptoms of severe back pain or weakness early.
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