Patient Reversal with Oral Anticoagulant Therapy in Maxillofacial Trauma in Emergency Room
Juan Mancilla Uribe1*, Felipe Estrada Caceres2, Diego Fonseca Escobar3
1Oral & Maxillofacial surgery, Universidad de Chile, Chile.
2DDS, Universidad del Desarrollo, Santiago, Chile.
3Oral & Maxillofacial surgery, Universidad de los Andes, Chile.
*Corresponding Author: Juan Mancilla Uribe, Oral & Maxillofacial surgery, Universidad de Chile, Chile.
https://doi.org/10.58624/SVOADE.2025.06.004
Received: January 15, 2025
Published: February 12, 2025
Citation: Mancilla Uribe J, Estrada Caceres E, Fonseca Escobar D. Patient Reversal with Oral Anticoagulant Therapy in Maxillofacial Trauma in Emergency Room. SVOA Dentistry 2025, 6:1, 24-32. doi: 10.58624/SVOADE.2025.06.004
Abstract
Introduction: Approximately one third of patients with hemorrhagic trauma present coagulopathy. Anticoagulation adds additional complexity to the evaluation and treatment of the trauma patient. You must act quickly to determine the types of medications, complexity of the injury, coagulation status, and most appropriate reversal strategy. The objective of this review is to establish the emergency management with reversal of patients on oral anticoagulants who present with maxillofacial trauma.
Methods: Search for articles indexed in PubMed and EBSCO using a combination of keywords and the Boolean terms “Anticoagulation” AND “reversal” AND “trauma” AND “emergency” published between April 2014 and 2024.
Results: For patients on oral anticoagulants, it is of utmost importance to know the characteristics of the drug, and they must be recognized by the treatment to avoid complications and control bleeding. A patient with poor control of their underlying pathology increases the risk of bleeding, implying a high risk of morbidity.
Conclusion: Assess the patient with coagulopathies according to metabolic status, type of hemorrhage, and hemorrhage control. All necessary hemostatic measures and control surgeries should be considered. It is important to mention that the reversal of therapeutic anticoagulation will differ according to specific health systems and countries.
Keywords: Anticoagulant; Emergency; Bleeding; Trauma
