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Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants

Sublingual haematoma is a rare complication of anticoagulants and can be life-threatening. As the number of prescribed anticoagulants is increasing, the incidence of complications of these drugs will continue to increase. A report of a sublingual haematoma in an elderly patient with chronic atrial f...

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Autores principales: Cnossen, Johannes Daniël, Schoonderbeek, Jeannette Fenna, Muller, Maaike
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sciendo 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216029/
https://www.ncbi.nlm.nih.gov/pubmed/32426517
http://dx.doi.org/10.2478/jccm-2020-0010
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author Cnossen, Johannes Daniël
Schoonderbeek, Jeannette Fenna
Muller, Maaike
author_facet Cnossen, Johannes Daniël
Schoonderbeek, Jeannette Fenna
Muller, Maaike
author_sort Cnossen, Johannes Daniël
collection PubMed
description Sublingual haematoma is a rare complication of anticoagulants and can be life-threatening. As the number of prescribed anticoagulants is increasing, the incidence of complications of these drugs will continue to increase. A report of a sublingual haematoma in an elderly patient with chronic atrial fibrillation treated with edoxban (Lixiana ©, Daiichi Sankyo Europe GmbH, München, Germany) is reported. A 90-year male presented at the emergency department with an obstructed upper airway due to a sublingual haematoma. The patient received tranexamic acid, prothrombin complex, and fresh frozen plasma. After fiberoptic nasal intubation, the patient was monitored in the intensive care unit. After four days, the patient was extubated, and after six days, the swelling resolved completely. Complications of anticoagulants are rare but can be life-threatening. Recognition of an endangered airway and reversing the effects of the anticoagulant are essential. Surgical evacuation of the haematoma could be considered but is not necessary.
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spelling pubmed-72160292020-05-18 Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants Cnossen, Johannes Daniël Schoonderbeek, Jeannette Fenna Muller, Maaike J Crit Care Med (Targu Mures) Case Report Sublingual haematoma is a rare complication of anticoagulants and can be life-threatening. As the number of prescribed anticoagulants is increasing, the incidence of complications of these drugs will continue to increase. A report of a sublingual haematoma in an elderly patient with chronic atrial fibrillation treated with edoxban (Lixiana ©, Daiichi Sankyo Europe GmbH, München, Germany) is reported. A 90-year male presented at the emergency department with an obstructed upper airway due to a sublingual haematoma. The patient received tranexamic acid, prothrombin complex, and fresh frozen plasma. After fiberoptic nasal intubation, the patient was monitored in the intensive care unit. After four days, the patient was extubated, and after six days, the swelling resolved completely. Complications of anticoagulants are rare but can be life-threatening. Recognition of an endangered airway and reversing the effects of the anticoagulant are essential. Surgical evacuation of the haematoma could be considered but is not necessary. Sciendo 2020-05-06 /pmc/articles/PMC7216029/ /pubmed/32426517 http://dx.doi.org/10.2478/jccm-2020-0010 Text en © 2020 Johannes Daniël Cnossen, Jeannette Fenna Schoonderbeek, Maaike Muller, published by Sciendo http://creativecommons.org/licenses/by-nc-nd/4.0 This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
spellingShingle Case Report
Cnossen, Johannes Daniël
Schoonderbeek, Jeannette Fenna
Muller, Maaike
Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants
title Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants
title_full Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants
title_fullStr Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants
title_full_unstemmed Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants
title_short Spontaneous Sublingual Haematoma in a 90-year Old Patient: A Complication of Direct Oral Anticoagulants
title_sort spontaneous sublingual haematoma in a 90-year old patient: a complication of direct oral anticoagulants
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216029/
https://www.ncbi.nlm.nih.gov/pubmed/32426517
http://dx.doi.org/10.2478/jccm-2020-0010
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