[Venous thromboembolism prophylaxis methods in trauma and emergency surgery intensive care unit patients: low molecular weight heparin versus elastic stockings + intermittent pneumatic compression].

Abstract

BACKGROUND:

We aimed to evaluate the efficacy and safety of low molecular weight heparin (LMWH) compared to elastic stockings in combination with intermittent pneumatic compression (ES+IPC) in venous thromboembolism (VTE) prophylaxis in the intensive care unit (ICU) of trauma and emergency surgery.

METHODS:

From June 2005 to June 2007, 259 patients who were on mechanic ventilation in the ICU were assigned to two groups as either LMWH (152 patients) or ES+IPC (94 patients). Color flow Doppler sonography was performed on the 3rd and 7th days.

RESULTS:

Deep venous thrombosis was determined in 3 (2%) of the LMWH group and in 1 (1%) in the ES+IPC group. Minor bleeding was seen in 15 patients. The frequency of VTE was 1.5%. Two patients suffered from fatal pulmonary embolism (PE) among a total of 4 patients with PE.

CONCLUSION:

We believe that the protocol applied for VTE prophylaxis in the Emergency Surgery Department of Istanbul Medical Faculty is effective and safe in this group with such high mortality and morbidity.

• Authors: Kürşat Serin, Hakan Yanar, Yaşar Ozdenkaya, Simru Tuğrul, Mehmet Kurtoğlu
• Journal: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES (Ulus Travma Acil Cerrahi Derg) Vol. 16 Issue 2 Pg. 130-4 (Mar 2010) ISSN: 1306-696X [Print] Turkey
• Vernacular Title: Travma ve acil cerrahi yoğun bakim hastalarinda venöz tromboemboli profilaksisi: Düşük molekül ağirlikli heparin ile elastik çorap + aralikli pnömotik kompresyonun karşilaştirilmasi.
• PMID: 20517766 (Publication Type: Journal Article)

Chemical References

• Anticoagulants
• Heparin, Low-Molecular-Weight

Topics

• Adult
• Aged
• Anticoagulants (therapeutic use)
• Emergency Service, Hospital
• Heparin, Low-Molecular-Weight (therapeutic use)
• Humans
• Intensive Care Units
• Middle Aged
• Retrospective Studies
• Safety
• Stockings, Compression (statistics & numerical data)
• Survival Rate
• Venous Thromboembolism (mortality, prevention & control)
• Wounds and Injuries (complications, mortality)