足手术中的静脉血栓栓塞预防:一项全球调查
Roberto Zambelli1, Sophie Frölke2, Caio Nery3
1Department of Orthopaedic Surgery, Mater Dei Healthcare Network, Belo Horizonte, Minas Gerais, Brazil; Department of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Department of Surgery, Faculty of Medical Sciences of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
概括
大多数整形外科医生都同意足手术后静脉血栓栓塞 (VTE) 预防的必要性. 然而,目前VTE预防的实践,包括类型和持续时间,在全球范围内有很大差异.
科学领域:
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
- 药理学 药理学是指药理学的学科.
背景情况:
- 目前关于足手术中血栓预防的指导方针缺乏一致性和强有力的证据.
- 静脉血栓塞栓症 (VTE) 在FA手术后仍然是一个问题.
研究的目的:
- 评估全球骨科外科医生在FA手术后进行静脉瘤预防的现行实践.
- 识别VTE预防策略的变化,包括类型,持续时间和风险因素评估.
主要方法:
- 从2019年2月到2020年3月,向整形外科医生分发了一项国际在线调查.
- 该调查收集了有关静脉瘤发病率,预防方法,出血并发症和危险因素的数据.
- 693名专门从事FA手术的骨科外科医生参加了这次活动.
主要成果:
- 97%的受访者认为,对于FA手术,血栓预防是必要的.
- 处方的持续时间经常与固定期相匹配;然而,在预防类型和持续时间方面观察到显著的洲际差异.
- 乙酸,低分子量肝素和直接口服抗凝剂是最常见的选择,并指出了区域偏好.
结论:
- 虽然在FA手术中对VTE预防的必要性达成共识,但目前的处方实践高度变化.
- 在血栓预防治疗的类型和持续时间方面存在显著的全球差异.
- 这些发现强调了需要标准化指导方针,以优化FA程序中的VTE预防策略.
更多相关视频
相关概念视频
Venous 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
Peripheral 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
Venous 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
Pulmonary 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
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Venous 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


