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Development of a perioperative venous thromboembolism prophylaxis algorithm for pediatric orthopedic surgical

Kedar Padhye1, Ron El-Hawary1, Victoria Price2

  • 1Division of Orthopaedics, IWK Health Centre, Halifax, Nova Scotia, Canada.

Pediatric Hematology and Oncology
|December 24, 2019
PubMed

Insights

A new screening tool was developed to identify pediatric orthopedic patients at risk for venous thromboembolism (VTE). This aims to improve VTE prophylaxis and patient safety in pediatric orthopedic surgery.

Area of Science:

  • Pediatric Orthopedics
  • Hematology
  • Clinical Practice Guidelines

Background:

  • Venous thromboembolism (VTE) is a rare but serious risk for pediatric orthopedic patients.
  • Current lack of standardized guidelines for VTE screening and management poses a clinical challenge.

Purpose of the Study:

  • To develop a VTE prophylaxis screening tool for postoperative pediatric orthopedic patients.
  • To address the need for a standardized approach to VTE risk assessment in this population.

Main Methods:

  • Institutional needs assessment survey and literature review.
  • Consultation with national and international experts.
  • Modified nominal group and consensus development conference methods were employed.

Main Results:

  • A perioperative VTE prophylaxis algorithm was successfully developed.
  • The algorithm is designed as a point-of-care assessment tool for rapid administration.
  • Implementation was planned at IWK Health Center.

Conclusions:

  • The developed algorithm provides a standardized method for VTE prophylaxis screening in pediatric orthopedic surgery.
  • This tool aims to enhance patient safety by identifying and managing VTE risk effectively.

Keywords:
PostoperativeRisk factorsThrombosisVTE

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