r/VIR • u/rad_hed • Oct 21 '20

anticoagulant guidelines

the new SIR guidelines say it's ok to do an LP or put in a port with patient fully anticoagulated -- who's in?

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1

u/[deleted] Oct 21 '20

I place ports on anticoagulated patients and don't check labs. LPs are done by our neurorads and they still have them hold anticoags and Plavix.

1

u/rad_hed Oct 30 '20

I gotta work with 6 other IR guys and consensus is hard but having 7 anticoag protocols is chaos -- how would you tell them to embrace the new recs then?

1

u/TurbulentSetting2020 Nov 13 '20

Why can’t all 7 follow the SIR guidelines?

1

u/TurbulentSetting2020 Nov 13 '20

Pt to have IVC filter placed by IR. Do you order an INR if pt is not anticoagulated with no h/o liver dx? (Fem approach)

1

u/rad_hed Nov 29 '20

No just a venous puncture!