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Complications Related to Deep Venous Thrombosis Prophylaxis in Trauma: a Systematic Review of the Literature by Indraneel Datta; Chad G Ball; Lucas Rudmik; S Morad Hameed; John B Kortbeek is a Medicine article available to read on EtoBox.

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## Abstract Deep venous thrombosis prophylaxis is essential to the appropriate management of multisystem trauma patients. Without thromboprophylaxis, the rate of venous thrombosis and subsequent pulmonary embolism is substantial. Three prophylactic modalities are common: pharmacologic anticoagulation, mechanical compression devices, and inferior vena cava filtration. A systematic review was completed using PRISMA guidelines to evaluate the potential complications of DVT prophylactic options. Level one evidence currently supports the use of low molecular weight heparins for thromboprophylaxis in the trauma patient. Unfortunately, multiple techniques are not infrequently required for complex multisystem trauma patients. Each modality has potential complications. The risks of heparin include bleeding and heparin induced thrombocytopenia. Mechanical compression devices can result in local soft tissue injury, bleeding and patient non-compliance. Inferior vena cava filters migrate, cause inferior vena cava occlusion, and penetrate the vessel wall. While the use of these techniques can be life saving, they must be appropriately utilized.

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Author

Indraneel Datta; Chad G Ball; Lucas Rudmik; S Morad Hameed; John B Kortbeek

Publisher

Springer (Biomed Central Ltd.); Springer Science + Business Media; London: BioMed Central, 2007-; Springer Science and Business Media LLC (ISSN 1752-2897)

Published

2010

Language

EN

Field

Medicine (Health Sciences)