Prophylaxis for deep venous thrombosis and pulmonary embolism in the surgical patient |
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Authors: | Merli G J |
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Affiliation: | Division of Internal Medicine, Thomas Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. |
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Abstract: | The fifth American College of Chest Physicians Consensus Conference on Antithrombotic Therapy provides the most up-to-date guidelines for the prevention of deep venous thrombosis (DVT) and pulmonary embolism (PE) in the surgical patient (1). These recommendations have become a major guideline for clinicians managing patients in the perioperative period. Despite these recommendations, there remains a concern for balancing the risk of major postoperative bleeding with the benefit of preventing thrombosis. In an attempt to resolve this issue, clinicians have requested clear-cut guidelines for identification of high-risk groups for whom prophylaxis must be used. This article will review the etiology, risk-factor stratification, regimens of prophylaxis, and recommendations for prevention of postoperative DVT and PE. |
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