Postoperative venous thrombosis

Borow, M; Goldson, H

doi:10.1016/0002-9610(81)90168-9

Cited by 115 publications

(7 citation statements)

References 14 publications

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“…These identified risk factors include BMI above 40, 21,22 smoking, 23,24 diabetes requiring insulin, 25,26 chemotherapy, 27,28 blood transfusions, 29,30 and length of surgery over 2 hours. 31,32 The Caprini RAM was completed by specially trained medical students via review of the presurgical assessment history, medical clearances, medical consults, and hospital charts. The Caprini RAM was completed for every participant both preoperatively and predischarge to ensure that any changes in the patient’s postoperative course were captured by the tool.…”

Section: Methodsmentioning

confidence: 99%

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

Krauss

Segal

Cronin

et al. 2019

Clin Appl Thromb Hemost

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Appropriate chemoprophylaxis choice following arthroplasty requires accurate patient risk assessment. We compared the results of our prospective department protocol to the Caprini risk assessment model (RAM) retrospectively in this study group. Our goal was to determine whether the department protocol or the Caprini score would identify venous thromboembolism (VTE) events after total joint replacement. A secondary purpose was to validate the 2013 Caprini RAM in joint arthroplasty and determine whether patients with VTE would be accurately identified using the Caprini score. A total of 1078 patients met inclusion criteria. A Caprini score of 10 or greater is considered high risk and a score of 9 or less is considered low risk. The 2013 version of the Caprini RAM retrospectively stratified 7 of the 8 VTE events correctly, while only 1 VTE was identified with the prospective department protocol. This tool provided a consistent, accurate, and efficacious method for risk stratification and selection of chemoprophylaxis.

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Section: Methodsmentioning

confidence: 99%

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

Krauss

Segal

Cronin

et al. 2019

Clin Appl Thromb Hemost

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“…2 The use of chemical prophylaxis is associated with a definite incidence of morbidity and mortality due to bleeding complications 3,5,17 and many regimes have been shown to be both expensive and ineffective having poor compliance, especially when using combined modalities. 18,19 Murray et al 1 concluded that "there is no good evidence that any pharmacological agent does more good than harm after a routine total hip replacement" and earlier claims that prophylaxis should be mandatory, findings, the views of orthopaedic surgeons appear to be changing, [3][4][5] with a reluctance to accept unnecessary and avoidable complications and a resurgence of interest in mechanical methods of prophylaxis.…”

Section: Discussionmentioning

confidence: 99%

The relationship of foot and ankle movements to venous return in the lower limb

Sochart¹,

Hardinge²

1999

The Journal of Bone and Joint Surgery

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We have studied the relationship between movements of the foot and ankle and venous blood flow from the lower limb using colourflow Duplex ultrasound to determine the optimum type of exercise for promoting venous return. Studies of both active and passive movements were carried out on 40 limbs in 20 subjects (18 men; 2 women), with a median age of 27 years (20 to 54). We assessed ankle dorsiflexion and plantar flexion, subtalar inversion and eversion, and a combination of all movements. There was no difference in venous flow when comparing opposite limbs in a single subject (p > 0.5), but active exercises produced higher peak and mean velocities of blood flow than passive ones. The active combined movement produced the highest velocities with an increase of 38% in mean and of 58% in peak flow velocities, which were significantly greater than the peak and mean flow rates produced by passive movements. The active combined exercise would therefore be the most effective in eliminating stasis and could contribute to the prevention of deep-vein thrombosis.

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“…Kakkar et al reported that DVT in the legs developed in 30% of postoperative patients and pulmonary embolism in 10% of these Correspondence to: K. Kimura patients [1]. According to previous studies, this complication could not be completely prevented even when anticoagulants were used during surgery, and DVT occurred in 25-50% of all patients after surgery [2].…”

mentioning

confidence: 99%

Lower-extremity venous stasis during laparoscopic cholecystectomy as assessed using color Doppler ultrasound

et al. 1995

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Lower-extremity venous stasis during laparoscopic cholecystectomy was evaluated in 16 patients by monitoring the blood velocity in the femoral vein and the femoral vein size (cross-sectional area) using color Doppler ultrasonography. The blood velocity in the femoral vein decreased significantly after the start of 10-mmHg abdominal insufflation in the supine position. When the patients were placed in a reverse Trendelenburg position during 10-mmHg insufflation, blood velocity in the femoral vein further decreased. However, velocity returned to the baseline after deflation. The cross-sectional area of the femoral vein was significantly elevated after the start of 10 mm Hg insufflation in the supine position. When patients were placed in the reverse Trendelenburg position during 10-mmHg insufflation, this parameter was further elevated, but returned to the baseline soon after deflation. These results indicate that femoral vein stasis during laparoscopic cholecystectomy can be minimized by reducing the pressure of abdominal insufflation and avoiding elevation of the patient's head as much as possible.

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Postoperative venous thrombosis

Cited by 115 publications

References 14 publications

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

Implementation and Validation of the 2013 Caprini Score for Risk Stratification of Arthroplasty Patients in the Prevention of Venous Thrombosis

The relationship of foot and ankle movements to venous return in the lower limb

Lower-extremity venous stasis during laparoscopic cholecystectomy as assessed using color Doppler ultrasound

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