Anticoagulation and Hemostasis in Neurosurgery

This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery. After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, and a summary of current guidelines and best practices is provided. By bringing together the latest knowledge from across the discipline, this book will serve as a sound basis for informed decision making in surgical practice. It will be of daily value for neurosurgeons and trainees worldwide and will also be of interest to emergency room physicians, surgeons in general, critical care physicians, neurologists, and hospital medicine specialists.

​This book is an up-to-date reference on all aspects of anticoagulation and hemostasis in neurosurgery.  After an opening section on basic principles and drug classes in current use, detailed consideration is given to coagulation issues relevant to all patients, not just neurosurgical ones. The coverage includes, for example, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. A variety of important issues specific to neurosurgical practice are then addressed, and a summary of current guidelines and best practices is provided. By bringing together the latest knowledge from across the discipline, this book will serve as a sound basis for informed decision making in surgical practice. It will be of daily value for neurosurgeons and trainees worldwide and will also be of interest to emergency room physicians, surgeons in general, critical care physicians, neurologists, and hospital medicine specialists.

Part 1.  General Principles. Physiology of Hemostasis.- Laboratory Assessment of Physiologic and Pathologic Hemostasis.- Current Anticoagulation Drugs and Mechanisms of Action.- Reversal of Target-Specific Oral Anticoagulants.- Overview, Treatment, Measurement, and Modification of Platelet Function.- Role of Antiplatelet Therapy in Neurosurgery: Efficacy and Safety Profiles.- Part 2.  Coagulation Issues Across all Patient Spectrums.- Congenital Coagulation Disorders.- Acquired Coagulation Disorders.- Regulation and Dysregulation of Fibrinolysis.- Risks Associated with Administration of Allogeneic Blood Components.- Common Coagulation Disorders That May Arise Intraoperatively.- Evaluation and Management of Untoward Intraoperative Bleeding.- Treatment of Disseminated Intravascular Coagulation (DIC).- Heparin-Induced Thrombocytopenia (HIT).- Anticoagulation in Cardiovascular Diseases.- Workup and Treatment of Pulmonary Embolus .- Part 3.  Coagulation Issues Specific to Neurosurgery.- Classes of Drugs and Blood Products for Acute Reversal of Anticoagulant Effect.- Rescue Strategies to Facilitate Emergency Neurosurgery in Patients on Antiplatelet or Anticoagulant Agents.- Considerations for Coagulation in the Multi‐Trauma Patient.- Cerebral Venous Sinus Thrombosis.- Coagulation Studies in Preoperative Neurosurgery Patients.- Safe Strategies for Gradual Suspension and Re-institution of Anticoagulation to Permit Elective Surgery.- Spontaneous Intracerebral Hemorrhage due to Coagulation Disorders.- Prophylactic Screening for Venous Thromboembolism in NeurosurgicalPatients.- Venous Thromboembolism Prophylaxis in Neurosurgery.- Can Patients with Known Intracranial and Intraspinal Vascular Lesions be Anticoagulated?.- Intrathecal Access and Devices in Patients on Antiplatelet or Anticoagulant Therapy.- Is it Safe to Shunt Anti-coagulated NPH Patients?.- Surgical Hemostasis in the Era of Anticoagulation: Guidelines and Recommendations Summary.