Tratamiento de hemorragias post extracciones en pacientes con terapia de anticoagulantes.

Abstract

Introduction: Haemostasis is achieved by various mechanisms such as vascular reaction, platelet response or primary hemostasis, activation of coagulation and fibrinolysis. When this process is altered, there could be a significant loss of blood and this is generally observed in patients receiving anticoagulant therapy. Objective: The objective of this study was to determine the treatment of post-extraction bleeding in patients with anticoagulant therapy. Materials and methods: This work is a qualitative, non-experimental, descriptive systematic review. 200 articles were collected on the treatment of post-extraction bleeding in patients with anticoagulant therapy. Only 31 articles met the inclusion criteria proposed for this study. Results: The articles were divided into 4 folders by variables, each article was analyzed and the results of the variables were compiled in a data table, to later make a qualitative analysis with a descriptive statistic of each one of them. In addition to the information collected from the 31 articles, with the selected articles it was identified in 22 of these that in terms of preoperative, periperative and postoperative behavior, what measures should be taken before oral surgery in patients with anticoagulant therapy Conclusion: It is concluded that dentists must have a preoperative, peroperative and postoperative behavior focused on the guidelines and protocols so that each of these procedures is carried out adequately and effectively, but above all that guarantees the stability of the patient without this having possible bleeding or in turn postoperative complications.