Anticoagulation and Regional Anesthesia Concerns

  • Alan David Kaye
  • Thomas Ngo Trang
  • Elyse M. Cornett
  • Ken Philip EhrhardtJr
  • Rinoo Vasant Shah


Interventional pain management is an emerging specialty that focuses on the use of procedures to diagnose and to treat chronic pain. Most of these procedures are performed percutaneously and carry a potential risk of bleeding (Manchikanti et al., Pain Physician. 16(2 Suppl):SE261–318, 2013). Regional anesthesia similarly uses percutaneous injection techniques for surgery, perioperatively, and postoperative analgesia. Patients undergoing these treatments may be receiving exogenous anticoagulants or have impaired hemostasis. Clinicians must be aware of best practice guidelines to ensure safety for those patients undergoing these procedures who are taking anticoagulant agents or have impaired hemostasis.


Anticoagulation Regional anesthesia Pain management Interventional pain management Coagulation Anticoagulants 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Alan David Kaye
    • 1
  • Thomas Ngo Trang
    • 2
  • Elyse M. Cornett
    • 3
  • Ken Philip EhrhardtJr
    • 4
  • Rinoo Vasant Shah
    • 3
  1. 1.Department of AnesthesiologyLouisiana State University School of MedicineNew OrleansUSA
  2. 2.Department of AnesthesiologyTulane University School of MedicineNew OrleansUSA
  3. 3.Department of AnesthesiologyLouisiana State University Health Sciences Center—ShreveportShreveportUSA
  4. 4.Department of AnesthesiaLouisiana State University Medical CenterNew OrleansUSA

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