Table 2

 Options for warfarin reversal

Type of reversalApproach
FFP, fresh frozen plasma; IV, intravenous; PCC, prothrombin complex concentrate.
Rapid (complete; within 10–15 minutes)PCC (immediate replacement of vitamin K dependent coagulation factors) plus IV vitamin K (switch on hepatic synthesis within a few hours)
Fast (partial)FFP (immediate replacement of vitamin K dependent coagulation factors—but the correction of the coagulopathy is partial)
Prompt (within 4–6 hours)IV vitamin K
Slow (within 24 hours)Oral vitamin K
Ultraslow (over days)Omit warfarin dose (no vitamin K)