DVT Prophylaxis-1

DVT Prophylaxis-1 - Prophylaxis Pt. I DVT Prophylaxis in...

Info iconThis preview shows pages 1–9. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Prophylaxis Pt. I DVT Prophylaxis in the SICU Gabriel Brat, MSIII 6/18/2007 Introduction Importance of DVTs Risk Factors Methods of Prophylaxis Recommendations Compliance Bundles PE third most common cause of iatrogenic death. 2001 AHRQ report emphasized 1A evidence IHI 5 million lives campaignVAP bundle LE DUS for PE 90% PEs originate in lower extremity 1st symptomatic DVT Sensitivity 95%, specificity 96% Increased sensitivity: serial US at 5-7 days combining with clinical suspicion Lower Extremity Veins Iliac ( Superficial) Femoral Deep (Common) Femoral External Saphenous Internal Saphenous Popliteal Hauer. UCSF 2005 Risk Factors for DVT Surgery Trauma (major or lower extremity) Immobility Paresis Malignancy Cancer therapy (hormonal, chemotherapy, or radiotherapy) Previous VTE Increasing age Pregnancy and the postpartum period Estrogen-containing oral contraception or hormone replacement therapy Selective estrogen receptor modulators Acute medical illness Heart or respiratory failure Inflammatory bowel disease Nephrotic syndrome Myeloproliferative disorders Paroxysmal nocturnal hemoglobinuria Obesity Smoking Varicose veins Central venous catheterization Inherited or acquired thrombophilia Risk of DVT Patient Group DVT Prevalence, % Medical patients 1020 General surgery 1540 Major gynecologic surgery 1540 Major urologic surgery 1540 Neurosurgery 1540 Stroke 2050 Hip or knee arthroplasty, hip fracture surgery 4060 Major trauma 4080 Spinal cord injury 6080 Critical care patients 1080 Geerts et al.Chest, 2004;126:338S Inherited Hypercoagulability Prevalence DVT Population Prevalence Factor V Leiden 12-21%** 6% Prothrombin mut 6-8% 2% Protein C, S def 2-4% < 1% AT III def 1-2% <1% All Thrombophilia...
View Full Document

Page1 / 36

DVT Prophylaxis-1 - Prophylaxis Pt. I DVT Prophylaxis in...

This preview shows document pages 1 - 9. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online