Managing Dabigatran vs ASCAR

The dabigatran App is designed for doctors to help them manage patients on the anticoagulant dabigatran. It will be useful to general practitioners, cardiologists, haematologists, neurologists, anaesthetists, emergency specialists and surgeons. In fact most clinicians will at some time have patients on anticoagulants and would find this App helpful. The Dabigatran App will help you • Select the right treatment for your patient. • Provide safe advice if bleeding occurs including information about Idarucizumab • Recommend when to stop treatment before surgery. • Provide recommendations for managing emergency surgery • Interpret coagulation results. -------------------------------------------------------------------------- Features of the Dabigatran App Dose recommendation The Dabigatran App provides the correct dose for each indication with advice about possible dose changes in the presence of renal impairment Drug information Details of the common side-effects, potential drug interactions and basic pharmacology is immediately available. Managing bleeding Bleeding is a potential problem with any anticoagulant and can be complex to manage. The Dabigatran App provides advice about which treatments to use for both minor and major bleeding including when to use idarucizumab (Praxbind) Managing surgery A common question with any anticoagulant is how long should treatment be stopped before surgery? The Dabigatran App calculates a safe interval between stopping treatment and surgery by including renal function and the time since the last dose. It also offers advice for treatment prior to emergency surgery if the surgery cannot be delayed. Interpreting coagulation results Dabigatran prolongs several coagulation tests. The Dabigatran App combines the results of these tests to give an indication of the dabigtran plasma concentration. Referenced information All recommendations are linked to an information page which is appropriately referenced with links to the relevant publications. Website for feedback The Dabigatran App is linked to the Coagulation Conversation website to allow you to ask questions, provide feedback or even start a discussion. We welcome all feedback. ---------------------------------------------------------------- The advice is based on published reviews and guidelines. Extensive efforts have been made to ensure the accuracy of the information however information may change for specific countries at short notice. The user should refer to the manufacturers datasheet for complete prescribing information. Disclaimer This software is to be used as a guide only and healthcare professionals should use clinical judgement and should individualise care for each patient. In no event shall the author or developer be liable to any party for damages resulting from the use of this application.

Integrate cognitive aids into your anaesthetic practice today! The ASCAR app has been designed by clinicians for clinicians with the aim of supporting Operating Theatre (OT) teams to plan and brief for complex cases effectively as well as respond appropriately to crises. The app allows you to carry in your pocket, the ever expanding library of ASCAR cognitive aids – so they are available in their most up-to-date version on your device whenever and wherever you are. Just select the subspecialty to locate the cognitive aid you are looking for… or, alternatively, use our advanced search function. The next time you find yourself in an OT full of responding staff, why not contribute by opening the app to assist the team in focusing on the clinical priorities and avoiding blindspots. Features: • Complete ASCAR library: automatically updated suite of cognitive aids from the ASCAR group across the whole array of anaesthetic sub-specialties. • Paediatric Dose Calculator: Proprietary paediatric anaesthesia calculator to assist you with looking after our most vulnerable patients. • Offline access: all files and our calculator remain accessible – even offline. But any updates will require an internet connection. • Advanced search function: to minimise the time and facilitate the ergonomics of finding the aid that you need at that moment of crisis. About us: ASCAR stands for AnaeSthesia Cognitive Aids and Research. We are a not-for-profit Human Factors interest group that was conceived at the Anaesthetic Department, at the Royal North Shore Hospital in Sydney. Our mission is to support our colleagues to perform excellently during crises, by researching, designing, and testing cognitive aids that are optimised for our high stakes environment. Through an understanding of strong aesthetic design, team dynamics, and ergonomics our goal is to advance the creation of clinical support tools for anaesthetists worldwide.