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PROPHYLAXIS AGAINST THROMBOEMBOLISM IN NEUROSURGICAL PATIENTS - A SURVEY OF CURRENT PRACTICE IN THE UNITED-KINGDOM

STEPHENS, PH; HEALY, MT; SMITH, M; JEWKES, DA; (1995) PROPHYLAXIS AGAINST THROMBOEMBOLISM IN NEUROSURGICAL PATIENTS - A SURVEY OF CURRENT PRACTICE IN THE UNITED-KINGDOM. BRIT J NEUROSURG , 9 (2) 159 - 163.

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Abstract

Venous thromboembolism is a life threatening, but preventable complication of major surgery. Many neurosurgical patients are at high risk of developing thromboembolic disease. A postal survey was undertaken of 44 UK neurosurgical centres to assess the use of physical and pharmacological methods of prophylaxis against thromboembolism. Thirty-five replies were received from 31 centres. Seventy-seven per cent of units used antiembolism stockings (TEDs) for elective surgery and 37% for emergency surgery; in approximately two-thirds of these units TEDs constituted the sole method of prophylaxis used during both elective and emergency surgery. Intermittent pneumatic compression (IPC) was utilized in 37 and 11% of units for elective and emergency surgery, respectively. Subcutaneous heparin was used in 32% of units perioperatively including 6% of emergency cases. These findings suggest that neurosurgical patients, who are at moderate to high risk of developing thromboembolic complications, may not receive effective prophylaxis; those undergoing emergency neurosurgery are less likely to receive any form of prophylaxis.

Type:Article
Title:PROPHYLAXIS AGAINST THROMBOEMBOLISM IN NEUROSURGICAL PATIENTS - A SURVEY OF CURRENT PRACTICE IN THE UNITED-KINGDOM
Keywords:DEEP VEIN THROMBOSIS, NEUROSURGERY, PULMONARY EMBOLUS, PROPHYLAXIS, DEEP-VEIN THROMBOSIS, VENOUS THROMBOSIS, RANDOMIZED TRIAL, PNEUMATIC COMPRESSION, DOSE HEPARIN, PREVENTION
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Neurology

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