{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:08Z","timestamp":1787755148672,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>An elderly, polytrauma patient receiving vitamin K antagonist (VKA) for atrial fibrillation required immediate surgery for open distal tibial fracture. As the initial reversal with vitamin K and fresh frozen plasma by the trauma team was ineffective, the \u201cBleeding Team\u201d was convened and administrated the appropriate four-factor prothrombin complex regimen, reversing the VKA in a timely manner. Surgery was performed under peripheral nerve blockade subsequently. The postoperative course of the patient was uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The individualized approach and the multidisciplinary experts' team guidance is of outmost importance in patients who are treated with anticoagulants and present for nonelective surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00786","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T14:07:07Z","timestamp":1624543627000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Introducing the \u201cBleeding Team\u201d: Urgent Reconstruction of an Open Fracture in a Patient Receiving Acenocoumarol"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1392-0135","authenticated-orcid":false,"given":"Metaxia","family":"Bareka","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2458-9342","authenticated-orcid":false,"given":"Maria P.","family":"Ntalouka","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0872-0056","authenticated-orcid":false,"given":"Konstantina","family":"Kolonia","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1811-6290","authenticated-orcid":false,"given":"Antonios A.","family":"Koutalos","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9494-6048","authenticated-orcid":false,"given":"Michael","family":"Hantes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Musculoskeletal Trauma, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0441-9442","authenticated-orcid":false,"given":"Eleni","family":"Arnaoutoglou","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,4]]},"reference":[{"issue":"5","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1160\/TH16-04-0266","article-title":"Prothrombin complex concentrates versus fresh frozen plasma for warfarin reversal. A systematic review and meta-analysis","volume":"116","author":"Chai-Adisaksopha","year":"2016","journal-title":"Thromb Haemost."},{"issue":"7","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/j.recesp.2018.01.001","article-title":"Perioperative and periprocedural management of antithrombotic therapy: consensus document of SEC, SEDAR, SEACV, SECTCV, AEC, SECPRE, SEPD, SEGO, SEHH, SETH, SEMERGEN, SEMFYC, SEMG, SEMICYUC, SEMI, SEMES, SEPAR, SENEC, SEO, SEPA, SERVEI, SECOT and AEU","volume":"71","author":"Vivas","year":"2018","journal-title":"Rev Esp Cardiol (Engl Ed)."},{"issue":"1","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"8","DOI":"10.4097\/kja.19391","article-title":"Anesthetic management of geriatric patients","volume":"73","author":"Lim","year":"2020","journal-title":"Korean J Anesthesiol."},{"key":"bib4-20240805","first-page":"w14598","article-title":"How I manage patients with anticoagulation-associated bleeding or urgent 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thrombosis and haemostasis","volume":"4","author":"Levy","year":"2020","journal-title":"Res Pract Thromb Haemost."},{"issue":"4","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1136\/bmjqs-2018-008260","article-title":"Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties","volume":"28","author":"Boet","year":"2019","journal-title":"BMJ Qual Saf."},{"issue":"14","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1007\/s40265-019-01179-w","article-title":"Prothrombin complex concentrates are superior to fresh frozen plasma for emergency reversal of vitamin K antagonists: a meta-analysis in 2606 subjects","volume":"79","author":"Hill","year":"2019","journal-title":"Drugs."},{"issue":"5","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1016\/j.chest.2018.07.040","article-title":"Antithrombotic therapy for 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