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Coagulation Made Simple

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What if Surgery “Requires” Heparin?<br />

• Consider status of HIT<br />

– Active HIT:<br />

• Avoid surgery<br />

• Avoid heparin<br />

– Subacute HIT<br />

• Avoid surgery<br />

• Consider alternatives<br />

to heparin<br />

• Heparin if absolutely<br />

necessary<br />

– History of HIT<br />

• Consider alternatives to<br />

heparin<br />

• Heparin, monitor closely

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