Today on the Everyday Oral Surgery Podcast we are joined by Dr. David Saloman to discuss post-extraction bleeding and how to handle bleeding complications. As postoperative bleeding is most commonly experienced by the elderly on anticoagulants or blood thinners, the doctors discuss how best to deal with these patients before, during, and after any extractions. They talk about the role of medication as both a cause and a treatment for bleeding. They also discuss how to treat a patient who bleeds heavily during surgery, is still bleeding hours after surgery, or develops a liver clot post-extraction. Different tools, equipment, and products, the role of cautery and lasers, and even the best way to use gauze are all covered in today’s show, so don’t miss it!
Key Points From This Episode:
- Hear about the different types of post-operative bleeding.
- The effect of anti-coagulants and blood thinners on post-extraction bleeding.
- The importance of post-operative instructions
- The relevance and timing of INR testing for patients on anticoagulants and blood thinners.
- The benefits of staging extractions for patients with a high bleeding risk.
- When to stop or bridge anticoagulant medication.
- The types of anticoagulants and blood thinners that cause the most problems.
- How to deal with a patient who is still bleeding hours after an extraction.
- The different tools, equipment, and products that can be used to stop the bleeding.
- How dentures may affect the extraction site post-operatively.
- The importance of informing patients how to care for themselves post-extraction.
- Extra measures that can be taken for high-bleeding risk patients.
- How to deal with Liver clots.
- When lasers and cautery can be used to stop bleeding.
- Whether or not to moisten gauze.
Links Mentioned in Today’s Episode:
Dr. David Salomon
Dr. Grant Stucki
Dr. Grant Stucki Email
Dr. Grant Stucki Phone Number — +1 720-775-5843