Emergency Management of Patient under Antiplatelet Drug Therapy: A Case Report

Introduction: Adequate hemostasis is crucial for the success of emergency treatment, since bleeding problems can give rise to complications associated with important morbidity-mortality. The emergency treatment of patients who tend to have an increased risk of bleeding due to the use of anticoagulant and/or antiplatelet drugs raises a challenge in the daily practice of dental professionals. Adequate knowledge of the mechanisms underlying hemostasis, and the optimized management of such patients, are therefore very important issues. Purpose: The aim of this science report is to show a case of emergency management of patient under antiplatelet drug therapy Material and methods ; The clinical case is showed from adult male, 56 years old, which accidentally have lacerated wound on his tongue while he was slipped. He had been treated under antiplatelet drug therapy for his cardiac disease since 5 years ago. Based on adequate clinical medical history and laboratory examination we will discuss the clinical approach and the best emergency management, including treatment consideration for the patient. Conclusions: Patient medication indicated for the treatment of background disease should not be altered or suspended unless indicated by the prescribing physician. Emergency management of patient under antiplatelet drug therapy, consists of wound debridement and suturing of lacerated wound under local anesthetic agent, hyaluronic acid gel, and hemostatic gargle have showed successful outcome. Key words: anticoagulants, antiplatelet drugs, hemostasis, lacerated wound