LAUSR

because of the risk of oozing and hematoma formation due to very high INR value. The article by vande Weerdt EK et al. states that there is a low incidence of major bleeding after central venous catheter placement in severe coagulopathic patients.[4] A recent study reported that coagulopathy was not associated with an increased risk of bleeding for ultrasound‐guided CVP catheter placement.[5] To conclude, the patients in supratherapeutic INR level with life‐threatening bleeding should be controlled by immediately available medication and blood product, and also think of risk‐benefit ratio for reversal of warfarin in an emergency condition.