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Epidural Catheter Use and Further Issues in Patients With Atrial Fibrillation Receiving a Direct Oral Anticoagulant

Epidural Catheter Use and Further Issues in Patients With Atrial Fibrillation Receiving a Direct... Letters Author Affiliations: Division of General Internal Medicine, Department of resumption of direct oral anticoagulant use on postoperative Medicine, Perelman School of Medicine, University of Pennsylvania; 1 days 2 or 3 (as depicted in the Figure for patients after high– Department of Medical Ethics and Health Policy, Perelman School of Medicine, 3,4 bleed-risk surgical procedures) conflicts with guidelines ad- University of Pennsylvania. vising against direct oral anticoagulant use with an in situ epi- Corresponding Author: Genevieve P. Kanter, PhD, Blockley Hall, 12th Floor; 423 dural catheter. Guardian Drive; Philadelphia, PA 19104 (gpkanter@pennmedicine.upenn.edu). To contextualize these issues, it would be helpful if the au- Published Online: November 11, 2019. doi:10.1001/jamainternmed.2019.5077 thors could please expand on: (1) classification of patients who Conflict of Interest Disclosures: Dr Kanter is part of a team at the University of Pennsylvania contracted to be the independent evaluator of the Substance received other modes of anesthesia (eg, combined general and Use Disorder Demonstration Project of Kentucky's Section 1115 Medicaid waiver. neuraxial anesthesia) for their procedures, (2) proportion of No other conflicts are reported. patients with epidural catheters in situ postoperatively, and 1. Ahn R, Herrera-Perez D, Prasad V. Characteristics of public comments (3) management of patients http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Epidural Catheter Use and Further Issues in Patients With Atrial Fibrillation Receiving a Direct Oral Anticoagulant

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Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2019.5864
Publisher site
See Article on Publisher Site

Abstract

Letters Author Affiliations: Division of General Internal Medicine, Department of resumption of direct oral anticoagulant use on postoperative Medicine, Perelman School of Medicine, University of Pennsylvania; 1 days 2 or 3 (as depicted in the Figure for patients after high– Department of Medical Ethics and Health Policy, Perelman School of Medicine, 3,4 bleed-risk surgical procedures) conflicts with guidelines ad- University of Pennsylvania. vising against direct oral anticoagulant use with an in situ epi- Corresponding Author: Genevieve P. Kanter, PhD, Blockley Hall, 12th Floor; 423 dural catheter. Guardian Drive; Philadelphia, PA 19104 (gpkanter@pennmedicine.upenn.edu). To contextualize these issues, it would be helpful if the au- Published Online: November 11, 2019. doi:10.1001/jamainternmed.2019.5077 thors could please expand on: (1) classification of patients who Conflict of Interest Disclosures: Dr Kanter is part of a team at the University of Pennsylvania contracted to be the independent evaluator of the Substance received other modes of anesthesia (eg, combined general and Use Disorder Demonstration Project of Kentucky's Section 1115 Medicaid waiver. neuraxial anesthesia) for their procedures, (2) proportion of No other conflicts are reported. patients with epidural catheters in situ postoperatively, and 1. Ahn R, Herrera-Perez D, Prasad V. Characteristics of public comments (3) management of patients

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Feb 1, 2020

References