Not so much the minor -- had an enormous spontaneous subdural (ie NO
trauma at all) on warfarin INR only 2.4 (on Warfarin for AF secondary to
severe MR with a currently well-compensated ventricle clinically).
Decided to use Beriplex to reverse clotting though (Pro-thrombin Complex
Concentrate) bit pricey but supposed to be very sure way to "switch off"
the warfarin and more predictable, without having to pour in litre after
litre of FFP. Am waiting to find out final outcome for the patient,
went straight to theatre.
--
Sam Waddy
|