Page Section 1 Introduction & summary of update 3 Risk assessment 4 Direct Acting Oral Anticoagulants (DOACs) 6 Tranexamic acid 8 References 11 Tables 1 & 2: CHA 2 DS 2 -VAS c tool to estimate risk of stroke 12 Table 3: Summary of anti-thrombotic medications and advice 14 Table 4: Key operating tips for managing bleeding Appendix Table 5: Risk stratification of specific procedures Appendix Flowchart: Management摘要附录文献搜索简介这是对2016年指南的计划更新。对2022年BSDS成员资格的调查显示了对临床实践中先前指南的广泛支持。要求我们尝试容纳一些添加的内容。我们将文献搜索带到了最新,并综述了建议和流程图摘要。We would draw your attention to some detail added: - relating to the risk/benefit evaluation of omission of Direct Oral Anticoagulants (DOACs), and practical advice - evidence for specific drugs on the absolute and relative risks of bleeding after skin surgery vs adverse events relating to omission for surgery - specifics relating to Tranexamic acid use - use of CHA 2 DS 2 -VAS c tool to estimate risk of stroke Executive summary和免责声明:皮肤手术的抗血栓形成药物的围手术治疗在皮肤科医生和其他临床医生之间差异很大。2016年的一项调查表明,大多数部门都无法获得有关皮肤手术和直接口服抗凝剂(NOAC/DOAC)的特定指南。1人们担心缺乏护理风险的标准化,导致不必要的最后一分钟取消手术导致困扰和效率低下。因此,BSD产生了相关指南,此处已更新。引入了Dabigatran,Rivaroxaban,Edoxaban和Apixaban(以前称为新型口服抗凝剂(NOAC))(NOAC) - 现在直接口服抗凝剂(DOAC))已改变了术语临床决策的景观。现在,在皮肤手术的患者中,这些问题比华法林更常见。