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Injections in Patients with Bleeding Risks and Comorbid Conditions

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Pain Management and Palliative Care

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Abstract

Assessing bleeding risk for patients who are to undergo spinal/epidural or peripheral joint injections is patient dependent. As a physician through years of practice, you will encounter patients with varying medical comorbidities that can affect their susceptibility to bleed with spinal injections. It is important to keep an open line of communication with the physicians managing their medical bleeding conditions to determine the safest way to proceed.

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Abbreviations

aPTT:

activated partial thromboplastin time

DDAVP:

Desmopressin

GP:

Glycoproteins

HELLP:

H (hemolysis, which is the breaking down of red blood cells) EL (elevated liver enzymes) LP (low platelet count)

INR:

International normalized ratio

LMWHs:

Low molecular weight heparins

PLT:

Platelet

PT/INR:

Prothrombin time/international normalized ratio

U:

Factor IX loading dose

VWD:

von Willebrand’s disease

VWF:

von Willebrand factor

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Authors and Affiliations

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

    Thomas Riolo D.O., Brian Richard Forzani M.D. & Aleksandr Levchenko D.O.

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  1. Thomas Riolo D.O.
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  2. Brian Richard Forzani M.D.
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  3. Aleksandr Levchenko D.O.
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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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Riolo, T., Forzani, B.R., Levchenko, A. (2015). Injections in Patients with Bleeding Risks and Comorbid Conditions. In: Sackheim, K. (eds) Pain Management and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2462-2_36

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  • DOI: https://doi.org/10.1007/978-1-4939-2462-2_36

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2461-5

  • Online ISBN: 978-1-4939-2462-2

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