#COVID19 –associated coagulopathy should be managed as it would be for any critically ill patient, following the established practice of using thromboembolic prophylaxis for critically ill hospitalized patients, and standard supportive care measures for those with sepsis-induced #coagulopathy or DIC. 

#COVID and its implications for thrombosis and #anticoagulation | Blood | American Society of Hematology

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https://ashpublications.org/blood/article/135/23/2033/454646/COVID-19-and-its-implications-for-thrombosis-and

Use of #anticoagulation treatments for hospitalized #COVID patients decreased after #omicron. Patients more likely to get anticoagulation treatment included being older, being Black, obesity, length of hospital stay, being on a ventilator, being high risk, and being unvaccinated.

#TWiVTLDR 9/

En pacientes con #FibrilaciónAuricular que sufren un #EVC, la evidencia favorece el inicio temprano de #anticoagulación (en los primeros 2 días) sobre el retraso de la misma.

#Stroke #AF #AtrialFibrillation #anticoagulation

https://www.nejm.org/doi/full/10.1056/NEJMoa2303048?query=featured_home

Should we delay #anticoagulation of #stroke in all patient because a frequentist analysis said so? Is this the way the clinician see things when making its decision?

#NEJM #NeuroCriticalCare

https://www.nejm.org/doi/full/10.1056/NEJMoa2303048

High-dose prophylactic #anticoagulation is (was?) affective to reduce the occurence of #thrombosis without impacting outcomes in #Covid hypoxemic failure

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2802821

#JAMAInternalMedicine #FOAMcc #CriticalCare

#FREEDOM #COVID #Anticoagulation Strategy Randomized Trial:

High-dose subcutaneous enoxaparin or oral apixaban – to inhibit thrombosis and progression of disease – can reduce deaths by 30%, intubations by 25% in hospitalized patients with pulmonary involvement but not yet in the #ICU, when compared to the standard treatment (low-dose anticoagulation).

https://medicalxpress.com/news/2023-03-high-dose-anticoagulation-intubations-survival-hospitalized.html

#SARSCoV2 @novid

Man lernt nie aus. Zum wiederholten Male habe ich heute die große und bisher völlig unbekannte Hauptschlagader im linken kleinen Finger getroffen. Trotz massiven Blutverlustes, konnte ein hervorragendes Ergebnis ermittelt werden. Ein wahrlich perfekter #INR.

#anticoagulation

Ich bekomme den #INR einfach montan nicht mehr unter 3. Mal gibt es einen Sinkflug nach Noro-Virus von 5,3 auf 3 in 2 Tagen und dann wieder hoch. Reduziere ich um auch nur um 0,75 g die Wochendosis geht er bis an 2 ran. Gibt es doch nicht, da wirst verrückt wirst da.

#anticoagulation