骨科手术中的静脉血栓栓塞:全球指南。

Kadir Uzel, İbrahim Azboy, Javad Parvizi
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引用次数: 0

摘要

静脉血栓栓塞症(VTE)是一种严重的并发症,可在主要的骨科手术后发生。由于VTE相关的发病率和死亡率是医疗专业人员和患者都非常关注的问题,因此通常会采取预防措施。包括美国胸科医师学会(ACCP)和美国骨科医师学会(AAOS)在内的多个组织已经制定了VTE预防指南,专门针对接受关节置换手术的患者。然而,最近召开了国际共识会议,来自68个国家和135个国际社会的600多名专家参加了会议。这些专家涵盖了一系列医学学科,包括整形外科、麻醉、心脏病学、血液学、血管学和内科学,他们使用严格的德尔菲流程对文献进行了全面审查,为所有类型的整形外科手术中的VTE预防提供了实用建议。这篇综述文章总结了ICM的一些建议。证据级别:五级,专家意见。
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Venous thromboembolism in orthopedic surgery: Global guidelines.

Venous thromboembolism (VTE) is a severe complication that can occur after major orthopedic procedures. As VTE-related morbidity and mortality are a significant concern for both medical professionals and patients, and preventative measures are typically employed. Multiple organizations, including the American College of Chest Physicians (ACCP) and the American Academy of Orthopedic Surgeons (AAOS), have developed guidelines for VTE prophylaxis specifically in patients undergoing joint replacement procedures. However, recently, the International Consensus Meeting (ICM) was convened, which brought together over 600 experts from 68 countries and 135 international societies. These experts, spanning a range of medical disciplines including orthopedic surgery, anesthesia, cardiology, hematology, vascular, and internal medicine, conducted a comprehensive review of the literature using a strict Delphi process to generate practical recommendations for VTE prophylaxis across all types of orthopedic procedures. This review article summarizes some of the recommendations of the ICM.

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