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Venous Thrombosis III: Interprofessional Care

Venous 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...

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Pulmonary 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...

Pulmonary Embolism III: Nursing Management

Pulmonary 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...

Venous Thrombosis IV: Nursing Management

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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,...

Pulmonary Embolism I: Introduction

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...

Pulmonary Embolism I: Introduction

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...

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Preventing pulmonary embolism using venous caval filter in elderly patients.

A Cavezzi¹, D Sabatini, R Lonardi

¹Institute of Surgical Pathologies, School of Specialization for Vascular Surgsry, University of Modena, Policlinico, Via del Pozzo, 71. I-41400 Modena, Italy.

Archives of Gerontology and Geriatrics

|January 1, 1996

Summary

This study shows that caval filter implantation is safe and effective in elderly patients over 65. Procedures had few complications, suggesting wider use of these filters in older individuals.

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Area of Science:

Vascular Surgery
Interventional Radiology

Background:

Venous thromboembolism (VTE) is a significant health concern, particularly in elderly populations.
Caval filters are used to prevent pulmonary embolism in high-risk patients.

Purpose of the Study:

To evaluate the safety and efficacy of caval filter implantation in elderly patients.
To assess complication rates and long-term outcomes in this demographic.

Main Methods:

Retrospective analysis of 92 caval filter implantations over 10 years.
Focus on 49 patients aged over 65 years.
Follow-up duration ranged from 1 to 10 years.

Main Results:

The study included 49 elderly patients (average age 72.95 years).
Surgical procedures were largely complication-free.
A low incidence of minor complications was observed during follow-up.

Conclusions:

Caval filter implantation demonstrates a favorable safety profile in elderly patients.
The low complication rate supports the expanded use of caval filters in this population.
This suggests improved VTE management strategies for older adults.