Briefly explain the rationale for requesting potential surgery patients to change from aspirin use to aceta?

Question

Briefly explain the rationale for requesting potential surgery patients to change from aspirin use to acetaminophen (Tylenol) prior to their procedure.

Answer 1

Aspirin is an anticoagulant(blood thinner).  Aceta is not.  If someone has sugery during the time frame that they have taken aspirin, the potential for excessive bleeding increases.  This fact makes some doctors very nervous, and most will not operate until the aspirin regimine has ceased.

Answer 2

Aspirin increases the risk of excessive bleeding - Tylenol does not.

Answer 3

Aspirin is a blood thinner. It inhibits clotting. Generally, surgeons don't want you on aspirin prior to a surgery, so as to reduce the potential for bleedin problems. During and immediately following the surgery.

Answer 4

Aspirin is a blood thinner and it causes the clotting time of the blood to increase.  This means that if the patient started to bleed during surgery, the OR team would have a much harder time controlling the bleed than if the patient were taking Tylenol.  

It is a smart move, and a measure that can save a patient's life.

Answer 5

Aspirin has blood thinning properties that cause excessive bleeding since your blood does not clot but Tylenol does not have this negative tendency.The surgeons request this change as they don't want to have their patients bleed to death during operations;not all doctors are heartless nor do they want their malpractice insurance rates to go higher.

Answer 6

Aspirin or Aspirin like drugs inhibit platelet aggregation  via    thromboxane B2  (platelets are cells in the blood that control bleeding and help the blood to clot)  :

                            

                              I

- hamper natural coaggulation process  :

                              I

- Increased risk of bleeding :

                              I

-Thus patients are instructed to stop use of Aspirin 3-4 days before minor surgery and 7-10 days before major surgery unless it is taken for some critical conditions.

Patients are switched over to acetaminophen which doesn't have anti platelet properties.

Recent researches from Mayo clinic suggests not to stop Aspirin before heart surgery as there were less likely hospital  deaths and no more likely chances of bleeding.

Answer 7

Aspirin is a blood-thinner .... so, it could lead to bleeding. You don't want to be a bleeder during surgery. Acetaminophen is an analgesic and antipyretic and does not cause blood-thinning.

Answer 8

ASA Is a COX (1 & 2) Inhibitor (Irreversible), Therefore TXA2 is Inhibited From Forming. Acetaminophen doesn't Do This.