[Answered]: A trauma patient is on therapeutic dose…

A trauma patient is on therapeutic dose enoxaparin for a DVT. The patient needs to go back to the OR with ortho to place an external fixator on the right ankle. What is the American College of Surgeon’s guidelines on starting and stopping low molecular weight heparin? Hold for 24 hrs before the operation and resume 48-72 hours after the operation. Hold 4-6 hrs before an elective operation. O Hold for 5 days before an elective operation resume 12-24 hrs after operation. • Hold for 2 days before low-risk bleeding operation and resume 1 day after.