Related Experiment Video
Updated: Jul 15, 2026
06:45
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.
The Journal of the Association of Physicians of India
|April 21, 2007
Summary
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.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
01:27Pulmonary Embolism III: Nursing Management
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
01:30Venous Thrombosis I: Introduction
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...