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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Management of venous thromboembolism
R Parakh1, V V Kakkar, A K Kakkar
1Dept of Vascular and Indovascular Surgery, Sir Ganga Ram Hospital, Delhi.
Insights
Venous Thromboembolism (VTE) prevention guidelines are reviewed for Indian applicability. This document synthesizes international data and expert opinion to address VTE management in India.
Area of Science:
- Medical Science
- Healthcare Management
- Clinical Practice
Background:
- Venous Thromboembolism (VTE) poses a significant global health challenge, leading to substantial morbidity, mortality, and healthcare costs.
- A lack of Indian-specific data hinders the effective application of VTE prevention strategies in the country.
- This review addresses the critical need for Indian perspectives on VTE prevention and management.
Purpose of the Study:
- To review international guidelines on VTE prevention and management.
- To discuss the relevance and practical implications of these guidelines within the Indian healthcare context.
- To provide a practical reference for VTE prophylaxis in India.
Main Methods:
- Convened multidisciplinary specialist meetings from August 2005 to January 2006.
- Discussed guidelines from ACCP, IUA, and RCOG, considering developing country implications.
- Collected and analyzed available Indian data, incorporating expert experiences and recent international data.
Main Results:
- Formulated practical suggestions for VTE prevention and management tailored to India.
- The document serves as a useful practical reference for healthcare professionals.
- Incorporated expert insights and experiences to enhance clinical applicability.
Conclusions:
- Further research is needed to address remaining questions in thromboprophylaxis.
- Carefully designed research protocols are essential for advancing VTE management.
- Implementation and study of the suggested guidelines in the Indian context are necessary.
Introduction:
Venous Thromboembolism is an important healthcare problem the world over, resulting in significant morbidity, mortality and resource expenditure. The rationale for use of thromboprophylaxis is based on solid principles and scientific evidence. Indian perspective on this topic is lacking due to the non-availability of published Indian data. This document reviews the available International and Indian data and discusses the relevance of recommendations for prevention and management of Venous Thromboembolism (VTE) in the Indian context.
Materials And Methods:
Meetings of various specialists from different Indian hospitals in the field of Gastrointestinal Surgery, General and Vascular Surgery, Hematology, Intensive Care, Obstetrics and Gynecology, Oncology and Orthopedics were held in the months of August 2005 to January 2006. The guidelines published by American College of Chest Physicians (ACCP), the International Union of Angiology (IUA), and the Royal College of Obstetricians and Gynecologists (RCOG), were discussed during these meetings. The relevance of these guidelines and the practical implications of following these in a developing country like India were also discussed. Any published data from India was collected from data base searches and the results, along with personal experiences of the participating specialists were discussed. The experiences and impressions of the experts during these meetings have been included in this document. Data from recent sources (International Union of Angiology and the National Comprehensive Cancer Network (NCCN) Practice guidelines in Oncology on Venous thromboembolic disease) was subsequently also included in this document.
Results:
The suggestions formulated in this document are practical, and would intend to serve as a useful practical reference.
Conclusions:
A number of unanswered questions remain in the field of thromboprophylaxis, and carefully designed research protocols may help answer some of these. Implementation of the suggestions outlined in the document remains to be studied in the Indian context.
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