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Originally Posted by MAB32
greg c,
This study was the most interesting to me:
http://www.ncbi.nlm.nih.gov/entrez/q..._uids=12719046
Thanks for the info!
Also, in order to avoid a Pulmonary Embolism during cardioversion, I spent the 24 hours before taking Coumadin and getting stuck every so many hours to check my count. That was just generally a pain in the butt. Question for you however, why don't they do another venipuncture on the arm and take blood from that catheter for your clot time instead of drawing it constantly from the Basilic and Median juncture(s)? I would think you could get away with doing that and still receive accurate results. It is probably a dumb question but I am curious as to why or why not. |
I've never heard of Coumadin being used to create a therapeutic level of anticoagulation in 24 hours. The protocol is usually coumadin for WEEKS prior to cardioversion- it simply does not work fast enough to be useful in that short a period of time, and drawing your blood every few hours just seems ridiculous. That drug usually takes DAYS. Much better choices exist to thin blood rapidly, and an ECHO to rule out clot would have been much simpler, especially if they thought they knew when the arrythmia started.
That management, at least as you've described it, sounds really bizarre. Maybe you SHOULD sue!
-G
ps. to answer your question, though, yes, placing a large bore IV would be easier, assuming it didn't clot off.
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