Prevention of perioperative venous thromboembolism in pediatric patients: Guidelines from the Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI)

Autor:	Judith Morgan, Elizabeth Chalmers, Amaia Arana, Mark Powis, Matthew Checketts, Jamie Maclean, Neil S. Morton
Rok vydání:	2018
Předmět:	Adult medicine.medical_specialty Adolescent Adult population 030204 cardiovascular system & hematology Risk Assessment 03 medical and health sciences 0302 clinical medicine Risk Factors Humans Medicine Anesthesia Child Perioperative Period Intensive care medicine business.industry Incidence (epidemiology) Anticoagulants 030208 emergency & critical care medicine Venous Thromboembolism Guideline Perioperative Special Interest Group United Kingdom Anesthesiology and Pain Medicine Regional anesthesia Surgical Procedures Operative Pediatrics Perinatology and Child Health business Risk assessment Ireland Venous thromboembolism
Zdroj:	Pediatric Anesthesia. 28:382-391
ISSN:	1155-5645
Popis:	The Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI) Guidelines Working Group on Thromboprophylaxis in Children has reviewed the literature and where possible provided advice on the care of children in the perioperative period. Areas reviewed include the incidence of perioperative venous thromboembolism (VTE), risk factors, evidence for mechanical and chemical prophylaxis, and complications. Safe practice of regional anesthesia with anticoagulant prophylaxis is detailed. In summary, there are few areas of strong evidence. Routine prophylaxis cannot be recommended for young children. Postpubertal adolescents (approximately 13 years and over) are at a slightly increased risk of VTE and should be assessed for prophylaxis and may warrant intervention if other risk factors are present. However, the incidence of VTE is significantly lower than in the adult population. This special interest review presents a summary and discussion of the key recommendations, a decision-making algorithm and a risk assessment chart. For the full guideline, go to www.apagbi.org.uk/publications/apa-guidelines.
Databáze:	OpenAIRE
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