PMID- 32589468
OWN - NLM
STAT- MEDLINE
DCOM- 20201216
LR  - 20201216
IS  - 2154-8331 (Print)
IS  - 2154-8331 (Linking)
VI  - 48
IP  - 5
DP  - 2020 Dec
TI  - Surgical venous thromboembolism prophylaxis: clinical practice update.
PG  - 248-257
LID - 10.1080/21548331.2020.1788893 [doi]
AB  - BACKGROUND: Perioperative medicine continues to evolve as new literature emerges. 
      This article provides an update on prevention of venous thromboembolism (VTE) in 
      surgical patients. METHODS: We reviewed articles on VTE prevention in surgical 
      patients published in peer-reviewed journals since the publication of 2012 ACCP 
      guidelines on VTE prevention in surgical patients. RESULTS: Methods of VTE 
      prophylaxis include aggressive ambulation, mechanical prophylaxis, and 
      pharmacological prophylaxis. In non-orthopedic surgery, the overall approach 
      remains assessment of thrombosis risk with the recommendation to use a risk 
      assessment tool such as the modified Caprini score. Low molecular weight heparin 
      (LMWH) appears to be more effective than unfractionated heparin (UFH) for VTE 
      prophylaxis in non-orthopedic surgery. For orthopedic surgery, recent studies now 
      recognize aspirin as an option for VTE prophylaxis after total hip arthroplasty, 
      total knee arthroplasty, and hip fracture surgery. Extended prophylaxis with LMWH 
      reduces the risk of symptomatic VTE in high risk abdominal and pelvic cancer 
      surgery without an appreciable increase in risk of bleeding and decreased 
      symptomatic VTE in major orthopedic surgery but with more minor but not major 
      bleeding. Prophylactic Inferior vena cava (IVC) filter placement or surveillance 
      compression ultrasonography is not recommended in management or detection of VTE 
      in surgical patients. CONCLUSIONS: This article aims to provide insight into data 
      from last several years which has potential to change clinical practices in 
      perioperative setting.
FAU - Segon, Yogita Sharma
AU  - Segon YS
AD  - Division of General Internal Medicine, Medical College of Wisconsin , Milwaukee, 
      Wisconsin, USA.
FAU - Summey, Robert D
AU  - Summey RD
AUID- ORCID: 0000-0002-6468-0012
AD  - Division of Hospital Medicine, Henry Ford Hospital , Detroit, Michigan. USA.
FAU - Slawski, Barbara
AU  - Slawski B
AD  - Division of General Internal Medicine, Medical College of Wisconsin , Milwaukee, 
      Wisconsin, USA.
FAU - Kaatz, Scott
AU  - Kaatz S
AUID- ORCID: 0000-0002-3080-3328
AD  - Division of Hospital Medicine, Henry Ford Hospital , Detroit, Michigan. USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20200801
PL  - England
TA  - Hosp Pract (1995)
JT  - Hospital practice (1995)
JID - 101268948
RN  - 0 (Anticoagulants)
RN  - 0 (Heparin, Low-Molecular-Weight)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Anticoagulants/*therapeutic use
MH  - Female
MH  - Heparin, Low-Molecular-Weight/*therapeutic use
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Orthopedic Procedures/*standards
MH  - Perioperative Care/*standards
MH  - *Practice Guidelines as Topic
MH  - Risk Factors
MH  - United States
MH  - Venous Thromboembolism/*drug therapy/*prevention & control/surgery
OTO - NOTNLM
OT  - Perioperative
OT  - clinical practice update
OT  - surgical thromboembolism prophylaxis
OT  - surgical venous thromboembolism prophylaxis
EDAT- 2020/06/27 06:00
MHDA- 2020/12/17 06:00
CRDT- 2020/06/27 06:00
PHST- 2020/06/27 06:00 [pubmed]
PHST- 2020/12/17 06:00 [medline]
PHST- 2020/06/27 06:00 [entrez]
AID - 10.1080/21548331.2020.1788893 [doi]
PST - ppublish
SO  - Hosp Pract (1995). 2020 Dec;48(5):248-257. doi: 10.1080/21548331.2020.1788893. 
      Epub 2020 Aug 1.