An elective surgery is to be done in a patient taking heavy doses of Aspirin. Management consists of :
Ans. is 'b' i.e., Stop aspirin for 7 days and then do surgery "Aspirin should be stopped 1 week before elective surgery." - KDT Aspirin, even in small doses, irreversibly inhibits Thrombooxane A2 (TXA2) synthesis by platelets. Thus it interferes with platelet aggregation and increase the bleeding time. This effect lasts for a week, the turnover time of platelets.
Proceed with surgery
Stopping aspirin for 7 days and then do surgery
Preoperative platelet transfusion
Intra operative platelet transfusion