Complications of Spinal Anaesthesia and Management
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Total Spinal Block and High Spinal Emergency
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1) **Low molecular weight heparin (e.g., enoxaparin)** – immediate anticoagulation to prevent clot extension and embolism. 2) **Warfarin or a DOAC (e.g., rivaroxaban)** – started concurrently for long-term anticoagulation; LMWH is overlapped until warfarin reaches therapeutic INR or DOAC reaches steady state.
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