Related Experiment Videos

Prevention of venous thromboembolism after surgery

Amir K Jaffer1, Daniel J Brotman

  • 1Hospital Medicine, Leonard M. Miller University of Miami School of Medicine, 1120 NW 14th Street, 933 CRB (C216), Miami, FL 33130, USA. ajaffer@med.miami.edu

Clinics in Geriatric Medicine
|November 6, 2008
PubMed

Insights

Venous thromboembolism (VTE), encompassing deep vein thrombosis and pulmonary embolism, is a major cause of cardiovascular death. This summary outlines current recommendations for VTE prophylaxis type and duration.

Area of Science:

  • Cardiovascular Medicine
  • Hematology

Background:

  • Venous thromboembolism (VTE) is a significant cause of mortality, ranking third in cardiovascular deaths in the U.S.
  • VTE includes deep vein thrombosis (DVT) and pulmonary embolism (PE).
  • It follows myocardial infarction and stroke in prevalence.

Purpose of the Study:

  • To summarize current recommendations for VTE prophylaxis.
  • To provide guidance on the appropriate type and duration of prophylactic treatments.

Main Methods:

  • Review and synthesis of existing clinical guidelines and evidence.
  • Consolidation of expert consensus on VTE prevention strategies.

Main Results:

  • Specific recommendations for prophylaxis in various clinical scenarios.
  • Guidance on tailoring prophylaxis based on patient risk factors and conditions.

Conclusions:

  • Effective VTE prophylaxis is crucial for reducing cardiovascular mortality.
  • Adherence to evidence-based recommendations can improve patient outcomes.

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

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...
Venous Thrombosis IV: Nursing Management01:30

Venous 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,...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Pulmonary Embolism III: Nursing Management01:27

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 I: Introduction01:30

Venous 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...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...