Key result
Pharmacological and mechanical methods for preventing DVT in neurosurgical patients remain controversial regarding their optimal use to balance efficacy and surgical bleeding risk.
Highlights the ongoing controversy regarding the optimal combination of pharmacological and mechanical methods for DVT prophylaxis in neurosurgical patients to balance efficacy and bleeding risk.
Deep vein thrombosis (DVT) is a common complication reported in the neurosurgical population. Some cases of DVT are followed by pulmonary embolism (PE), which can be a serious cause of morbidity and mortality in the postoperative period. Signifi cant risk factors of DVT development in patients undergoing intracranial surgery have been reported. Therefore, screening methods for early detection, measures of prophylaxis and DVT treatment have been proposed and utilized widely. However, the controversy remains over whether a single method or combination of pharmacological and mechanical methods is more effective in preventing DVT, while minimizing surgical bleeding, which is a serious problem for neurosurgeons.
No takes yet. Share an insight, caveat, or question.
Saringcarinkul et al. (2015) conducted a review in Deep vein thrombosis and pulmonary embolism in neurosurgical patients. Pharmacological and mechanical DVT prophylaxis was evaluated. Pharmacological and mechanical methods for preventing DVT in neurosurgical patients remain controversial regarding their optimal use to balance efficacy and surgical bleeding risk.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: