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. 2020 Sep 23;4(3):e255–e262. doi: 10.1055/s-0040-1716512

Table 1. Surgery/procedure classification based on bleed risk.

High bleed risk Low bleed risk
Any surgery requiring neuraxial anesthesia
• Neuraxial anesthesia/injection—epidural anesthesia/injection.
Gastrointestinal procedures
• Colonoscopy, gastroscopy, sigmoidoscopy—endoscopic retrograde pancreaticocholangiography—capsule endoscopy—push enteroscopy—Barrett's esophagus ablation.
Major intracranial or neuraxial surgery
• Brain cancer resection—laminectomy or neuraxial tumor resection—intracranial (subdural, epidural) bleed evacuation.
Cardiac procedures:
• Permanent pacemaker implantation or battery change.
• Internal cardiac defibrillator implantation or battery change—artrioventricular node ablation—coronary artery angiography (radial approach).
Major thoracic surgery
• Lobectomy, pneumonectomy, esophagectomy.
Dental procedures
• Tooth extraction (up to two extractions) —endodontic (root canal) procedure.
Major cardiac surgery
• Coronary artery bypass—valve replacement or repair.
Skin procedures and skin biopsy
Major vascular surgery
• Aortic aneurysm repair—aorto-bifemoral bypass, popliteal bypass—carotid endarterectomy.
Eye procedures and phacoemulsification (cataract)
Major abdominopelvic surgery
• Hepatobiliary cancer resection—pancreatic cancer or pseudocyst resection—colorectal and gastric cancer resection—diverticular disease resection.
• Inflammatory bowel disease resection—renal cancer resection—bladder cancer resection—endometrial cancer resection—ovarian cancer resection—radical prostatectomy.
Major orthopaedic surgery
• Hip arthroplasty or hip fracture repair—knee arthroplasty or tibial osteotomy—shoulder arthroplasty—metatarsal osteotomy.
Other major cancer or reconstructive surgery
• Head and neck cancer surgery—reconstructive facial, abdominal, limb surgery.