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A guide to new anticoagulant medications for ENT surgeons

Published online by Cambridge University Press:  11 December 2015

M Bajalan ,
T C Biggs ,
S Jayaram ,
J Mainwaring  and
R Salib
M Bajalan*
Affiliation:
Department of ENT Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK
T C Biggs
Affiliation:
Department of ENT Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK
S Jayaram
Affiliation:
Department of ENT Surgery, Birmingham City Hospital, Southampton, UK
J Mainwaring
Affiliation:
Department of Haematology, Royal Bournemouth & Poole Hospitals, Southampton, UK
R Salib
Affiliation:
Department of ENT Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK
*
Address for correspondence: Dr M Bajalan, 33 Fordbridge Road, Ashford, Middlesex TW15 2TB, UK E-mail: mobajalan@gmail.com
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Abstract

Objectives:

This study aimed to ascertain otolaryngologists’ current knowledge of new (e.g. apixaban, rivaroxaban) and old (e.g. warfarin) anticoagulant medications, and to provide an educational overview of new anticoagulants for use by surgeons.

Methods:

A questionnaire survey was distributed across the Wessex region, UK, to ascertain the levels of knowledge of and confidence in managing patients taking various anticoagulants. In total, 50 questionnaires were completed (41 by trainees and 9 by consultants). A literature review of new anticoagulant medications was then conducted.

Results:

In general, there was poor clinical and pharmacokinetic knowledge of newly licensed anticoagulant medications. Respondents were more confident in the use of older vs newer forms of anticoagulants. This was true across all grades of doctors, but particularly at the senior level. All respondents stated that they would like to see an educational resource on anticoagulants.

Conclusion:

Knowledge of newly licensed anticoagulation medications is poor. This study has produced an educational resource for the management of anticoagulant agents. A thorough knowledge of these drugs is essential for the acute management of bleeding patients and in peri-operative surgical planning.

Keywords

PyrazolesAnticoagulantsOtolaryngologyPatient Care Management

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 12 , December 2015 , pp. 1167 - 1173
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented as an oral presentation at the South West ENT Academic Meeting, 6 June 2014, Bath, UK

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