PMID- 30473974 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 10 IP - 9 DP - 2018 Sep 21 TI - Thromboprophylaxis in Intensive Care Unit Patients: A Literature Review. PG - e3341 LID - 10.7759/cureus.3341 [doi] LID - e3341 AB - Thromboembolism is a major complication in hospitalized patients. Intensive care unit (ICU) patients have a greater risk of thrombotic events due to additional risk factors such as immobilization, mechanical ventilation, and central catheters. The diagnosis and management of deep vein thrombosis (DVT) and pulmonary embolism (PE) in critically ill patients are challenging and these conditions are associated with high mortality. Medical thromboprophylaxis with low molecular weight heparin (LMWH) as well as unfractionated heparin (UFH) has been shown to reduce the incidence of thromboembolic events in such patients. For patients with high risk of bleeding, mechanical thromboprophylaxis can be used. Literature database was conducted on Medline for articles published up to 2018 using particular search terms such as thromboprophylaxis and venous thromboembolism in ICU patients. The following review summarizes the existing data regarding thromboprophylaxis in ICU patients with special consideration to the use of mechanical prophylaxis and pharmacologic prophylaxis using heparin products. FAU - Ejaz, Amna AU - Ejaz A AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. FAU - Ahmed, Munis M AU - Ahmed MM AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. FAU - Tasleem, Azka AU - Tasleem A AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. FAU - Rafay Khan Niazi, Muhammad AU - Rafay Khan Niazi M AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. FAU - Ahsraf, Muhammad Farhan AU - Ahsraf MF AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. FAU - Ahmad, Imama AU - Ahmad I AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. FAU - Zakir, Asma AU - Zakir A AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. FAU - Raza, Awais AU - Raza A AD - Internal Medicine, King Edward Medical University/Mayo Hospital, Lahore, PAK. LA - eng PT - Journal Article PT - Review DEP - 20180921 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC6248708 OTO - NOTNLM OT - intensive care unit(icu) OT - prophylaxis OT - thromboprophylaxis OT - venous thromboembolism COIS- The authors have declared that no competing interests exist. EDAT- 2018/11/27 06:00 MHDA- 2018/11/27 06:01 PMCR- 2018/09/21 CRDT- 2018/11/27 06:00 PHST- 2018/11/27 06:00 [entrez] PHST- 2018/11/27 06:00 [pubmed] PHST- 2018/11/27 06:01 [medline] PHST- 2018/09/21 00:00 [pmc-release] AID - 10.7759/cureus.3341 [doi] PST - epublish SO - Cureus. 2018 Sep 21;10(9):e3341. doi: 10.7759/cureus.3341.