Direct oral anticoagulants should often be suspended for longer before neuraxial blockade.
Direct oral anticoagulants (DOACs) require perioperative vigilance to reduce the risk of spinal haematoma. There is a little of information concerning which plasma concentrations of DOACs are safe when administering central neuraxial blocks (CNBs) and there is a wide variability in the rate of elimination, both between individuals and DOACs.
