کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9091119 | 1148960 | 2005 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Prévention de la maladie thromboembolique veineuse périopératoire en chirurgie cardiaque, vasculaire et thoracique
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیهوشی و پزشکی درد
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![عکس صفحه اول مقاله: Prévention de la maladie thromboembolique veineuse périopératoire en chirurgie cardiaque, vasculaire et thoracique Prévention de la maladie thromboembolique veineuse périopératoire en chirurgie cardiaque, vasculaire et thoracique](/preview/png/9091119.png)
چکیده انگلیسی
In the absence of thromboprophylaxis, coronary artery bypass graft surgery (CABG), intrathoracic surgery (thoracotomy or video-assisted thoracoscopy), abdominal aortic surgery and infrainguinal vascular surgery are high-risk surgeries for the development of venous thromboembolic events (VTE). The incidence of VTE following surgery of the intrathoracic aorta, carotid endarterectomy or mediastinoscopy is unknown. Data from the litterature are lacking to draw evidence-based recommandations for venous thromboprophylaxis after these three types of surgeries, and the following guidelines are but experts'opinions (Grade D recommendations). Thromboprophylaxis is recommended after CABG (Grade D), with either subcutaneous (SC) low molecular weight heparin (LMWH) or SC or intravenous (i.v.) unfractioned heparin (UH) (PTT target = 1.1-1.5 time control value) (both grade D). This may be combined with the use of intermittent pneumatic compression device (Grade B). After valve surgery. The anticoagulation recommended to prevent valve thrombosis is sufficient in order to prevent VTE. We recommend thromboprophylaxis with either LMWH or low dose UH to prevent VTE after aortic or lower limbs infrainguinal vascular surgery (both grade B and D). Vitamine K antagonists (VKA) are not recommended in this indication (Grade D). We recommend thromprophylaxis following intrathoracic surgery via thoracotomy or videoassisted thoracoscopy (grade C). Either subcutaneous LMWH or subcutaneous or i.v. low dose UH may be used (Grade C). Efficacy of intermittent pneumatic compression device has been demonstrated in a study (grade C). VKA are not recommended (grade D). No further recommendation regarding the duration of thromboprophylaxis after these three types of surgeries can be made.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annales Françaises d'Anesthésie et de Réanimation - Volume 24, Issue 8, August 2005, Pages 938-946
Journal: Annales Françaises d'Anesthésie et de Réanimation - Volume 24, Issue 8, August 2005, Pages 938-946
نویسندگان
V. Piriou, B. Rossignol, J.-P. Laroche, P. Ffrench, P. Lacroix, P. Squara, D. Sirieix, N. D'Attellis, E. Samain,