کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1026766 1483375 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Introducing a procedure-specific Venous Thrombo-Embolism (VTE) chemoprophylaxis protocol for thyroid surgery patients
ترجمه فارسی عنوان
معرفی یک ترومبوآمبولی وریدی روش خاص (VTE) پروتکل پیشگیری برای بیماران عمل جراحی تیروئید
کلمات کلیدی
تیروئید؛ آمبولی ونو ترومبو ؛ هماتوم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

The updated 2014 British Thyroid Association thyroid cancer guidelines recommends that chemoprophylaxis is not routinely indicated as there is no increased risk of Veno-Thrombo Embolism (VTE) in patients undergoing thyroid surgery. Contrasting this, our recently instituted Trust wide VTE prophylaxis guidance meant that all patients with a potential thyroid cancer diagnosis would require chemoprophylaxis.The literature was reviewed and chemoprophylaxis was found to increase the bleeding risk post thyroid surgery. A project was undertaken to balance the risk of VTE with the potential for increased morbidity following thyroid surgery and produce procedure specific guidelines.Retrospective analysis found that in contrast to national standards, 78% of patients had chemoprophylaxis and there was a 9% post-operative haematoma rate. Departmental audit, literature review and discussion with Trust audit lead allowed for development and implementation of a variant VTE prophylaxis guidance allowing a scoring system for intermediate group (medium risk) in addition to previous low and high risk groups.The change in practice was followed by further analysis showing a reduction in post-operative haematoma to 0% with no increased incidence of VTE, highlighting that adoption of a procedure specific VTE policy has allowed for safe practice but continuous monitoring is essential to maintain improvement.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Perioperative Care and Operating Room Management - Volume 2, March 2016, Pages 34–37
نویسندگان
, , , , , ,