Cardiac surgery and reduction of risk of venous thromboembolism (VTE)
NICE has given specific advice regardind cardiac surgery and reduction of risk of DVT/PE
- offer VTE prophylaxis to patients undergoing cardiac surgery who are not having other anticoagulation therapy and are assessed to be at increased risk of VTE
- start mechanical VTE prophylaxis at admission. Choose any one of:
- anti-embolism stockings or
- intermittent pneumatic compression
- continue until the person no longer has significantly reduced mobility relative to their normal or anticipated mobility
- consider adding pharmacological VTE prophylaxis for a minimum of 7 days for people who are undergoing cardiac surgery and are not having other anticoagulation therapy:
- use LMWH as first-line treatment
- if LMWH is contraindicated, use fondaparinux sodium
- start mechanical VTE prophylaxis at admission. Choose any one of:
Reference:
- 1) NICE (March 2018). Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism
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