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All I want for coagulation

K P Nunn1, M R Bridgett, M R Walters

  • 1Faculty of Medicine, University of Glasgow, Glasgow, Scotland, UK.

Scottish Medical Journal
|November 18, 2011
PubMed

Insights

For long flights, compression stockings with or without aspirin or heparin are evidence-based for preventing deep vein thrombosis (DVT). Simple exercises also help reduce DVT risk in travelers.

Area of Science:

  • Medical Practice
  • Evidence-Based Medicine
  • Travel Medicine

Background:

  • Modern medicine relies on evidence-based practice.
  • Applying evidence to unique patient scenarios, like Santa Claus's DVT risk, presents challenges.
  • Deep Vein Thrombosis (DVT) is a significant concern for air travelers.

Purpose of the Study:

  • To review evidence for DVT prophylaxis in travelers.
  • To illustrate the difficulties in applying evidence to atypical clinical encounters.
  • To provide evidence-based recommendations for DVT prevention during air travel.

Main Methods:

  • Searched Medline and Cochrane Library for DVT prophylaxis studies.
  • Reviewed existing clinical guidelines for venous thromboembolism.
  • Included relevant studies and those found in reference lists.

Main Results:

  • Compression stockings are a primary evidence-based intervention.
  • A single dose of aspirin or heparin can be used adjunctively with stockings.
  • Encouraging simple in-flight exercises is also recommended.

Conclusions:

  • Compression stockings, potentially combined with aspirin or heparin, offer the most evidence-based DVT prophylaxis for high-risk travelers.
  • Simple exercises should be encouraged for all travelers on long flights.
  • The case highlights the need for adaptable evidence-based strategies in clinical practice.

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