Thromboprophylaxie en neurochirurgie et en neurotraumatologie intracrânienne
| Autor: | T. Faillot, M.-C. Vergnes, B. Lestienne, Jean-François Payen, Nicolas Bruder, C. Bernard, Jean-Luc Bosson, Gérard Audibert |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test medicine.drug_class business.industry Deep vein Anticoagulant Venography Low molecular weight heparin General Medicine medicine.disease Thrombosis 3. Good health Surgery 03 medical and health sciences Venous thrombosis 0302 clinical medicine Anesthesiology and Pain Medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Anesthesia medicine Neurosurgery Risk factor business 030217 neurology & neurosurgery |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation. 24:921-927 |
| ISSN: | 0750-7658 |
| Popis: | The incidence of deep vein thrombosis (DVT) is between 20 and 35% using contrast venography, with a rate of symptomatic DVT between 2.3 and 6% in neurosurgery without any prophylaxis. The risk of DVT is poorly evaluated in head injured patients but is around 5%. Specific risk factors in neurosurgery are: a motor deficit, a meningioma or malignant tumour, a large tumour, age over 60 years, surgery lasting more than 4 hours, a chemotherapy. The benefit of mechanical methods or low molecular weight heparin (LMWH) for the prevention of DVP in neurosurgery is demonstrated (grade A). Each method decreases the risk by about 50%. A postoperative prophylaxis with a LMWH does not seem to increase the risk of intracranial bleeding (grade C). There is no demonstrated benefit to begin a prophylaxis with LMWH before the intervention. The duration of the prophylaxis is 7 to 10 days but this has not been scientifically determined. |
| Databáze: | OpenAIRE |
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