Related Experiment Video
Updated: Jul 13, 2025
06:45
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
13.6K
Venous thromboembolism in orthopedic surgery: Global guidelines
Kadir Uzel1, İbrahim Azboy1, Javad Parvizi2
1Department of Orthopaedics and Traumatology, Medipol Mega University Hospital, İstanbul, Turkey.
Acta Orthopaedica Et Traumatologica Turcica
|October 12, 2023
Summary
Venous thromboembolism (VTE) is a serious risk after orthopedic surgery. New International Consensus Meeting (ICM) guidelines offer updated VTE prophylaxis recommendations for orthopedic procedures.
Area of Science:
- Orthopedics
- Hematology
- Cardiology
- Vascular Medicine
- Internal Medicine
Background:
- Venous thromboembolism (VTE) is a significant complication following major orthopedic surgery.
- Existing guidelines from organizations like ACCP and AAOS address VTE prophylaxis in joint replacement.
- Patient and provider concern regarding VTE morbidity and mortality necessitates effective preventative strategies.
Approach:
- The International Consensus Meeting (ICM) convened over 600 experts from diverse medical disciplines.
- A comprehensive literature review was conducted using a rigorous Delphi process.
- The goal was to generate practical, evidence-based recommendations for VTE prophylaxis in all orthopedic procedures.
Key Points:
- The ICM recommendations provide a unified approach to VTE prophylaxis across various orthopedic procedures.
- Expert consensus was reached through a systematic review and Delphi methodology.
- The guidelines aim to standardize and improve VTE prevention in orthopedic surgery patients.
Conclusions:
- The ICM has established new, comprehensive recommendations for VTE prophylaxis in orthopedic surgery.
- These guidelines synthesize international expertise to address a critical clinical concern.
- The updated recommendations are intended to reduce VTE-related complications in orthopedic patients.
More Related Videos
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
10
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...
10
01:30Venous Thrombosis IV: Nursing Management
14
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,...
14
01:23Peripheral Artery Disease V: Postoperative Nursing Management
12
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...
12
01:30Venous Thrombosis I: Introduction
12
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...
12
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
13
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...
13
01:27Pulmonary Embolism III: Nursing Management
15
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...
15