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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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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...
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Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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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...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

233
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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Venous Thrombosis IV: Nursing Management01:30

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,...
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Venous Return01:04

Venous Return

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The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

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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...
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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Association Between Surgeon Practice Knowledge and Venous Thromboembolism.

Alirio de Meireles1, Arthur M Carlin2, Anne Cain-Nielsen3

  • 1Department of Surgery, University of Michigan, Ann Arbor, MI, USA.

Obesity Surgery
|February 17, 2020
PubMed
Summary
This summary is machine-generated.

Discrepancies in bariatric surgeons' reported venous thromboembolism (VTE) prophylaxis practices and actual patient care increase VTE risk. Improving VTE chemoprophylaxis requires understanding system factors influencing these practices.

Keywords:
Bariatric surgeryHealth services researchMetabolic surgeryVTEVTE prophylaxisVenous thromboembolism

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Area of Science:

  • Surgery
  • Thrombosis Research
  • Healthcare Quality Improvement

Background:

  • Venous thromboembolism (VTE) is a leading cause of mortality after bariatric surgery.
  • Current VTE chemoprophylaxis practices among bariatric surgeons are not well-documented.

Purpose of the Study:

  • To determine VTE chemoprophylaxis practice patterns in bariatric surgery.
  • To compare surgeon self-reported practices with actual patient chart data.

Main Methods:

  • A survey was administered to 66 bariatric surgeons (93% response rate).
  • On-site data audits reviewed patient charts for ordered and administered VTE chemoprophylaxis.
  • Comparison of self-reported data against abstracted chart data was performed.

Main Results:

  • Significant discordance (31%) was found between self-reported and actual pre-operative VTE dosing.
  • For patients with VTE, 39% of administered chemoprophylaxis did not match surgeon reports.
  • Post-operative VTE dosing showed similar discordance rates in patients with (47%) and without (38%) VTE.

Conclusions:

  • Higher discordance between reported and actual VTE chemoprophylaxis correlates with increased VTE risk.
  • Further research into system factors is needed to optimize VTE chemoprophylaxis.