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Abrir o catálogo na página 1Prevention and Treatment of Venous Thromboembolism International Consensus Statement 2013 *1 Official Journal of International Union of Angiology, Union Internationale de Phlébologie, Central European Vascular Forum Chairman of Editorial Commitee: A.N. Nicolaides International Angiology; Vol 32; April 2013; Nr 2 Overall Recommendations “Combined modalities (IPC and pharmacological prophylaxis) should be considered in all high risk surgical patients (level of evidence: high).” “GEC is contraindicated in patients with peripheral arterial disease because of anecdotal reports of gangrene.”...
Abrir o catálogo na página 2Despite risk adapted, modern prevention regimes, DVTs and PEs are still common complications and a severe threat to hospitalized patients *1 DVTs and bleeding risk in Neurosurgery Low molecular weight heparin (LMWH) decreased the incidence of DVTs + PEs, but also increases the risk for intracranial hemorrhage significantly. Incidence per million citizens 1.600 Mechanical compression in head and spinal injuries 750 200 DVTs (30 – 50% lead to PTS in following years) Mechanical Compression can be used safely for prophylaxis of VTE in head/ spinal trauma patients and show same efficacy as LMWH....
Abrir o catálogo na página 3Combined methods for high risk patients Significantly lower DVT rates than with SCD (Sequential Compression Devices) *12 For high risk patients**, combined methods significantly reduce the risk of VTE compared to a single method alone. MC vs. MC+Pharma Calf Impulse Compression (CIT) leads to significantly lower DVT rates than SCD in patients with total knee replacement. Proximal DVTs SCD ** orthopaedic, urology, general surgery, cardiothoracic, gynecology Distal DVTs Calf Impulse Compression shows superior peak flow Impulse Calf Compression show superior peak flow in the V. femoralis...
Abrir o catálogo na página 4FIT four times as effective as GECS Foot Impulse Technology is four times as effective as GECS in elective hip replacement patients. Calf Impulse Compression Deep Vein Thrombosis Foot Impulse Technology DVTs (Phlebography) Graduated Elastic Compression Stockings Mechanical Compression National Institute for Health and Clinical Excellence Pulmonary Embolism Profunda Femoris Vein Post-Thrombotic Syndrome Low Molecular Wight Heparin Intermittent Pneumatic Compression Sequential Compression Device Venous Thromboembolism FIT at least as effective as LMWH DVT rates after THR are equal...
Abrir o catálogo na página 5International Consensus Statement DVT Prevention 2013 International Angiology; Vol 32; April 2013; Nr 2 Official Journal of International Union of Angiology, Union Internationale de Phlébologie, Central European Vascular Forum 2009 Duration and magnitude of the postoperative risk of venous thromboembolism in middle aged woman prospective cohort study; BMJ 2009; 339:b4583 Chest 2002 Dec, 122(6): 1933-7 Goldhaber SZ 1, Dunn K, Gerhard-Herman M, Park JK, Black PM. 2011 Venous thromboembolism prophylaxis in patients undergoing cranial neurosurgery: a systematic review and meta-analysis....
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