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Hematologic-Altering Medications and Spinal Injections

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Pain Management and Palliative Care

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Abstract

There is no exact method as to when to hold each hematologic-altering medication when administering spinal injections. Every physician has their own preference and different resources state different information, therefore always proceed with caution for the best results and least amount of risks. The following represents guidelines to follow.

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Abbreviations

aPTT:

activated partial thromboplastin time

ASA:

Aspirin

ASRA:

Anesthesia Society of Regional Anesthesia and Pain Medicine

COX:

Cylcooxygenase inhibitor

HIT:

Heparin Induced Thrombocytopenia

INR:

International normalized ratio

IV:

Intravenous

ISIS:

International Spine Interventional Society

LMWH:

Low molecular weight heparin

NSAIDs:

Non-steroidal anti-inflammatory drugs

PLT:

Platelet

PT:

Prothrombin time

SQ:

Subcutaneous

UFH:

Ultrafractionated heparin

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Authors and Affiliations

  1. Department of Internal Medicine, Stony Brook University Hospital, Stony Brook, NY, USA

    Julia Sackheim D.O.

  2. Department of Rehabilitation Medicine, New York University Langone Medical Center, New York, NY, USA

    Thomas Riolo D.O.

  3. Department of Anesthesiology, University of Missouri Health System, Columbia, MO, USA

    Jeremy J. Robbins D.O.

Authors
  1. Julia Sackheim D.O.
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  2. Thomas Riolo D.O.
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  3. Jeremy J. Robbins D.O.
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Corresponding author

Correspondence to Thomas Riolo D.O. .

Editor information

Editors and Affiliations

  1. Department of Rehabilitation Medicine, Interventional Pain Management, New York University , Langone Medical Center, New York, New York, USA

    Kimberly A. Sackheim

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Sackheim, J., Riolo, T., Robbins, J.J. (2015). Hematologic-Altering Medications and Spinal Injections. In: Sackheim, K. (eds) Pain Management and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2462-2_35

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  • DOI: https://doi.org/10.1007/978-1-4939-2462-2_35

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2461-5

  • Online ISBN: 978-1-4939-2462-2

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