I would like to know what the standard of care is regarding a patient on coumadin undergoing oral surgery (for gingivitis)Is it always held, and if so for how long?
This would depend a lot on why they are on the coumadin. Usually for low risk patients(atrial fibrillation etc.) we stop it 3-4 days prior to any oral procedures. For high risk patients(metal valves, etc) we stop it 2 days prior to dental procedures. Since the gum is accesable, pressure can be applied and stop bleeding in the event there is excessive bleeding. So, it is less of a bleeding risk than an internal procedure like a biopsy. [posted 08/27/1999] Question: i am a 38 yr old female that has had aortic vavle replacement in feb.1998 i take 10mg coumadin a day.. i have very very bad leg cramps when i lie down.. i have told my doctor about this and he has given me k+ and quinine and this has done no good.. i know i have to take the coumadin but just to see when i skip my coumadin my legs do not cramp..
