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Use of prothrombin complex in patients with an intracerebral hemorrhage who are on oral anticoagulants

Bartolomé Navarro MT, Amores Valenciano P, Gómez Garrido M, Navarro Carrillo A, Romero Cebrián A

Servicio de Urgencias, Hospital General de Villarrobledo, Área Sanitaria de Albacete, Albacete, Spain. Servicio de Anestesia y Reanimación, Hospital General de Albacete, Albacete, Spain.

The use of oral anticoagulants is increasing, leading to a rise in the number of
complications emergency health services must cope with. A review of the literature
showed that prothrombin complex is an important therapeutic option when emergency
reversion of anticoagulation is required, as it acts more quickly and completely than fresh
frozen plasma. In this case report we review the use and indications of prothrombin
complex in patients on oral anticoagulants, noting that rapid onset of effect is
particularly important in cases of intracerebral hemorrhage.

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