ADVERTISEMENT
ADVERTISEMENT

Q. Are CBC,PT, and PTT sufficient for a pre-operative hematology clearance?

Answered by
Dr. Goswami Parth Rajendragiri
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 11, 2022

Hi doctor,

I need hematology clearance for abdominoplasty. The anesthesiologist insists on hematology clearance because I take Pradaxa 150 mg twice daily, Bupropion 450 mg once daily, and Aspirin 81 mg once daily. I take these medications for stroke, and heart attack, and also I had blood clots. However, I need to get the laboratory tests done, but they need to be ordered. And I was not sure if all that was needed was a CBC or PT/PTT, etc. Kindly give your suggestions.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

I suggest you to follow the instructions mentioned below:

1. The anticoagulant medicines that you mentioned should be stopped three days before the surgery.

2. You can investigate for PT (prothrombin time), PTT (partial thromboplastin time), BT (bleeding time), and CBC (complete blood count) prior to surgery to get a hematological clearance.

3. Dabigatran (anticoagulant) does not carry many risks of bleeding. So you need not worry about it.

However, a preoperative clearance can be given after observing the reports of the above investigations and doing a physical examination at your hospital.

I hope I have answered your question.

Let me know if I can assist you further. Take care.

Hi doctor,

Thank you for your reply.

I will get the history and physical exam done and the recommended lab works also. Do I need to attach the files to this query when I obtain the needed information? Also, I underwent a surgery last year and I stopped the Pradaxa three days before surgery just like you stated. Thank you so much for your help.

#

Hello,

Welcome back to icliniq.com.

Yes, you can attach the reports for my review. I will try to help you by giving the information about the results.

Let me know if I can assist you further. Take care.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
What are the various blood tests that can find reason for fatigue, depression, and fear?

Many times just having stress, anxiety, and depression in itself can cause these symptoms ...   Read full

I just got the results from my blood tests, and I was told that I have a fatty liver. What to do?

.. your concern. I have gone through the reports and some parameters are slightly high. But I do not find anything abnormally wrong in the reports. Your creatinine and urea are normal and it indicates that the kidney is in healthy condition. Your hem...   Read full

My blood test came positive for yeast. Should I be concerned?

I am having most of the symptoms posted in the articles, such as lack of concentration, brain fog, lack of appetite, fatigue, muscle pain, weakness, urinating may be twice daily, increased anxiety and fungal rash on the back ......   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Relation Between Enamel Hypoplasia and Dental Caries
Enamel hypoplasia is due to incomplete or defective formation in the organic matrix, which forms the first layer of the ...  Read more»
Methods to Increase Breast Milk Production
Several measures can help mothers in increasing their breast milk production. Find out the correct way to breastfeed thr...  Read more»
Ingrown Hair: How Can You Prevent and Treat It
An ingrown hair is a hair strand that grows back into the skin after a clean shave or waxing. It appears as a raised dar...  Read more»

Ask your health query to a doctor online?

Ask a Hematologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.