Venous thromboembolism prophylaxis in the trauma intensive care unit: an American Association for the Surgery of Trauma Critical Care Committee Clinical Consensus Document

Trauma Surgery and Acute Care Open - Tập 6 Số 1 - Trang e000643 - 2021
Joseph Rappold1,2, Forest R. Sheppard1,2, S. Carmichael2,3, Joseph Cuschieri2,4, Eric J. Ley5,2, Erika L. Rangel6,2, Anupamaa Seshadri2,7, Christopher P. Michetti8,2
1Maine Medical Center
2Surgery
3Wake Forest University
4University of Washington Seattle Campus
5Cedars-Sinai Health System
6Brigham and Women's Hospital
7University of Pittsburgh Medical Center
8Inova Fairfax Hospital

Tóm tắt

Venous thromboembolism (VTE) is a potential sequela of injury, surgery, and critical illness. Patients in the Trauma Intensive Care Unit are at risk for this condition, prompting daily discussions during patient care rounds and routine use of mechanical and/or pharmacologic prophylaxis measures. While VTE rightfully garners much attention in clinical patient care and in the medical literature, optimal strategies for VTE prevention are still evolving. Furthermore, trauma and surgical patients often have real or perceived contraindications to prophylaxis that affect the timing of preventive measures and the consistency with which they can be applied. In this Clinical Consensus Document, the American Association for the Surgery of Trauma Critical Care Committee addresses several practical clinical questions pertaining to specific or unique aspects of VTE prophylaxis in critically ill and injured patients.

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