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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...
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...
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,...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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 II: Clinical Manifestations and Diagnostic Studies01:20

Venous 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...

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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
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Preventing venous thromboembolism in elective upper limb surgery.

Raymond E Anakwe1, Scott D Middleton, Nicholas Beresford-Cleary

  • 1Centre for Upper Limb Surgery, Wrightington Hospital, Appley Bridge, Wigan, UK. raymundus@doctors.org.uk

Journal of Shoulder and Elbow Surgery
|January 22, 2013
PubMed
Summary

Preventing deep venous thrombosis (DVT) and pulmonary embolism (PE) is crucial in surgery. This review clarifies best practices for DVT prophylaxis in elective upper limb surgery, addressing current uncertainties in guidance.

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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Last Updated: May 15, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
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Published on: November 19, 2019

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

Area of Science:

  • Orthopedic Surgery
  • Vascular Medicine
  • Evidence-Based Medicine

Background:

  • Deep venous thrombosis (DVT) and pulmonary embolism (PE) pose significant clinical and economic burdens.
  • Prevention of venous thromboembolism (VTE) is a key surgical quality indicator.
  • Current guidance for VTE prophylaxis is inconsistent, particularly for upper limb surgery.

Purpose of the Study:

  • To review current guidance on DVT prophylaxis for orthopedic surgeons performing elective upper limb surgery.
  • To establish evidence-based best practices and a standard of care for VTE prevention in this patient population.

Main Methods:

  • Systematic review of guidance from professional and regulatory bodies.
  • Literature search including MEDLINE database.
  • Analysis of evidence supporting DVT prophylaxis recommendations.

Main Results:

  • Guidance for DVT prophylaxis in elective upper limb surgery is notably unclear.
  • Existing evidence predominantly focuses on lower limb or trauma surgery.
  • Lack of clear guidelines may lead to perceived failures in care.

Conclusions:

  • Establishing evidence-based best practice for VTE prophylaxis is essential for elective upper limb surgery.
  • A clear standard of care is needed to ensure appropriate patient management and reduce VTE risk.
  • Addressing the evidence gap is critical for quality surgical care.