For patients on clopidogrel or ticlopidine (or dual anti-aggregation), request consultation by a cardiologist and/or an expert in hemostasis and thrombosis.
Pharmaceutical companies can request consultation from G-BA on the choice of appropriate comparator, on design aspects of studies, and on the content of the documents to be submitted (§ 35a par. 7 SGB V).
Providing precise directives for managing such patients goes beyond the purpose of this consensus statement; the only indication is to pay extreme attention to them and to request consultation by an expert on hemostasis and thrombosis.
Administration of clopidogrel or ticlopidine must be interrupted 7 and 10 days before surgery, respectively, whereas in patients receiving dual anti-aggregation (aspirin and clopidogrel), surgery must be delayed if clopidogrel interruption is expected during the following months; if interruption is not expected, request consultation by a cardiologist and/or an expert in hemostasis and thrombosis.
If INR < 2, start LMWH administration at the prophylactic dose and timing (4,000 5,000 IU/day), plan surgical intervention as soon as possible, and request consultation by a cardiologist and/or by an expert in hemostasis and thrombosis to plan VKA resumption after surgery.
During the autumn of 1961, when international relations were severely strained because of the Berlin crisis, the Soviet Union requested consultations in accordance with the 1948 agreement.
In an eight-page legal complaint, the Chinese government requested consultations on both the original 2006 decision to impose the shoe duties and last year's move to extend them.
During the policy innovation, the SSDNC always requested consultations with and information from the Ministry of Human Resources and Social Security.
We asked responders to indicate their agreement with nine potential reasons for requesting consultations.
This study aimed to compare outcomes and costs of same-day requested consultations by PAs with those of GPs.
