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KMID : 1155520190140010102
Anesthesia and Pain Medicine
2019 Volume.14 No. 1 p.102 ~ p.105
Epidural hematoma after total knee arthroplasty in a patient receiving rivaroxaban - A case report -
Shin So-Jin

Kang Hyo-Seok
Lee Jae-Woo
Kim Hyoung-Gyun
Choi Eun-Su
Abstract
Rivaroxaban, a factor Xa inhibitor, is one of the newly developed direct oral anticoagulants (DOAC). In recent times, it has been increasingly used in the prevention of pulmonary embolism in patients undergoing orthopedic surgery. This report describes a case of epidural hematoma in an elderly patient who underwent combined spinal epidural anesthesia for total knee arthroplasty; the patient received rivaroxaban postoperatively for 7 days to prevent pulmonary embolism. Additionally, the epidural hematomas developed on the 5th postoperative day but the patient recovered well with conservative treatment. Although rivaroxaban has a low need for monitoring and is easily administered, the guidelines should be carefully checked for the postoperative administration schedule in patients undergoing regional anesthesia. In addition, rivaroxaban should be used with caution, especially in elderly patients.
KEYWORD
agulants, Conduction anesthesia, Spinal epidural hematoma
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