Patients taking antiplatelet and anticoagulant medications pose a heightened risk of bleeding during interventional spine and pain procedures. This article discusses safe-practice recommendations for use of NSAIDs including continuance of concurrently administered anticoagulants, timing schedules for cessation and resumption of use for various interventional pain procedures. Interventional pain management includes minimally invasive procedures to diagnose and treat chronic pain.
Patients with chronic pain are at an increased risk for coronary or cerebrovascular events after discontinuation of protective antiplatelet and anticoagulant medications. To address the dilemma of doctors ‘ to discontinue or not to discontinue’, American Society of Regional Anesthesia and Pain Medicine have given recommendations for use of antiplatelet and anticoagulant drugs during interventional spine and pain…
