A 56-year-old male is diagnosed with a contained rupture of a thoracic aortic aneurysm and was emergently taken to the operating room for thoracic endovascular aortic repair. On postoperative day 1, he begins to complain of loss of motor function in his lower extremities. When reviewing the patient’s medication history, which of the following would place him at highest risk of developing a spinal hematoma after spinal drain placement?
A. Aspirin 81 mg taken the morning of surgery Wrong Choice!
B. Apixaban stopped 3 days before placement Wrong Choice!
C. Dabigatran stopped 4 days before placement Correct Choice
D. Enoxaparin DVT prophylaxis 14 hours before placement Wrong Choice!
Answer:C
A 56-year-old male is diagnosed with a contained rupture of a thoracic aortic aneurysm and was emergently taken to the operating room for thoracic endovascular aortic repair. On postoperative day 1, he begins to complain of loss of motor function in his lower extremities. When reviewing the patient’s medication history, which of the following would place him at highest risk of developing a spinal hematoma after spinal drain placement?
A. Aspirin 81 mg taken the morning of surgery Wrong Choice! B. Apixaban stopped 3 days before placement Wrong Choice! C. Dabigatran stopped 4 days before placement Correct Choice D. Enoxaparin DVT prophylaxis 14 hours before placement Wrong Choice!