Antidotes for anticoagulation reversal (Registro nro. 22778)

000 -Cabecera
Campo de control interno 02138nam a2200253 4500
001 - Número de control
control field ESSALUD
005 - Fecha y hora de la última transacción
Campo de control 20260805114713.0
007 - Tipo material - Descripcion fisica - info general
Tipo material - Descripcion fisica - info general ta
008 - Elementos de Longitud Fija - Información General
Elementos de Longitud Fija - Información t pe ||||| |||| 00| 0 spa d
040 ## - Origen de la Catalogación
Origen de la Catalogación BMG
041 ## - Idioma
Idioma eng
100 ## - Autor
Autor Rocca, Bianca
Rol del Autor Autor
9 (RLIN) 53946
245 ## - Titulo
Titulo Antidotes for anticoagulation reversal
300 ## - Páginas
Paginación páginas: 2234-2254
520 ## - Resumen
Resumen The global rise in anticoagulant use has increased the number of major bleeding events that warrant timely and effective pharmacologic reversal. Reversal strategies should be informed by the pharmacodynamic and pharmacokinetic features of the anticoagulant and antidote, regulatory indications, quality of evidence, patient-specific factors, and availability of treatment options. Protamine sulfate neutralizes unfractionated heparin, whereas no specific antidotes exist for low-molecular-weight heparins or fondaparinux. Four-factor prothrombin complex concentrates effectively reverse vitamin K antagonists. Idarucizumab specifically reverses dabigatran, although delayed dabigatran rebound can occur. Andexanet alfa targets direct oral factor Xa inhibitors, but uncertainties regarding the efficacy–safety balance, monitoring, rebound, perioperative use, and cost have prompted off-label use of four-factor prothrombin complex concentrates, for which stronger evidence is needed. Key challenges remain, including determination of appropriate dosing, standardization and validation of laboratory monitoring, mitigation of thrombotic risk, and development of guidelines for perioperative treatment. Emerging agents aim to broaden targets and improve safety. Building high-quality evidence remains essential to advancing global, patient-centered anticoagulant and hemostatic care.
650 ## - Temas - Descriptores
Temas - Descriptores ANTICOAGULACION
9 (RLIN) 53834
650 ## - Temas - Descriptores
Temas - Descriptores ARRITMIAS
9 (RLIN) 53863
650 ## - Temas - Descriptores
Temas - Descriptores CIRUGIA CARDIOVASCULAR
9 (RLIN) 53947
650 ## - Temas - Descriptores
Temas - Descriptores COAGULACIÓN
9 (RLIN) 53903
650 ## - Temas - Descriptores
Temas - Descriptores CARDIOLOGÍA
9 (RLIN) 11301
700 ## - Autor Personal
Autor Personal Cate, Hugo
9 (RLIN) 53948
773 0# - Revista (Relacion con el numero)
Host Biblionumber 22717
Host Itemnumber 22641
Ciudad, Editorial Massachusetts NEJM Group
Codigo barras item/ejemplar NEJM008
Titulo de la Revista The New England Journal of Medicine
Número de control de registro ESSALUD
ISSN 0028-4793
942 ## - Elementos de Koha
Tipo de Documento Artículos
Fecha procesamiento 2026-08-03
Catalogador SQB

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