Intraosseous administration of 4-factor prothrombin complex concentrate prior to emergent surgery after receiving apixaban.

Abstract:

WHAT IS KNOWN AND OBJECTIVE:The 4-factor prothrombin complex concentrate (4F-PCC) may be used to emergently achieve haemostasis in patients on anticoagulation prior to surgery. Limited data exist using the intraosseous route of administration of 4F-PCC in patients taking factor Xa inhibitors. CASE DESCRIPTION:We describe a case of a 69-year-old female receiving oral apixaban that was successfully administered 4F-PCC using intraosseous access prior to emergent surgery to obtain haemostasis intraoperatively. WHAT IS NEW AND CONCLUSION:Intraosseous access may be a viable route of administration for 4F-PCC in patients receiving factor Xa inhibitors to achieve haemostasis when necessary.

journal_name

J Clin Pharm Ther

authors

Ratliff P,Nutley K,Schroeder W,Cottingham L

doi

10.1111/jcpt.13094

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

577-579

issue

3

eissn

0269-4727

issn

1365-2710

journal_volume

45

pub_type

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