Thrombosis prophylaxis prior to surgery

2003 ◽  
Vol 18 (3) ◽  
pp. 106-109
Author(s):  
D Bergqvist

This review article provides an update on risk factors of venous thromboembolism and methods for preventing its occurrence following surgery. A summary of the prophylactic methods that are currently available is provided, with particular attention given to low molecular weight heparins, which are the most popular. The new methods of Xa inhibition and oral thrombin inhibition are also mentioned. Finally, the most appropriate times to start prophylaxis and the necessary duration are discussed, along with some of the risks of prophylaxis.

2004 ◽  
Vol 17 (5) ◽  
pp. 289-307 ◽  
Author(s):  
Mike McGuire ◽  
Paul P. Dobesh

Venous thromboembolism (VTE) is a common condition that increases in incidence with age and risk factors. Therapies for VTE are aimed at either preventing the disease in high-risk individuals or treating patients who have developed VTE. Assessing risk and aggressively using the recommended therapies is primacy in preventing VTE in surgical and medical patients. Risk of VTE in medical patients has become more defined in recent years, and prophylaxis in this group can prevent scores of iatrogenic VTE. Treatment of VTE has evolved in the past decade from a condition that required hospitalization for 5 to 7 days to a disease state that can be conveniently and safely treated on an outpatient basis, largely due to the advent of low-molecular-weight heparins and patient self-directed treatment.


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