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2018, Number 1

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Rev Mex Anest 2018; 41 (1)

Thromboprophylaxis in spine surgery. Review of current practice

Barraza-Zetina AI

Language: Spanish
References: 31
Page: 45-53
PDF size: 229.57 Kb.


ABSTRACT

The general incidence of venous thromboembolism is about two cases per 1,000 a year, also it has been reported in Intensive Care Units an incidence greater than four per 1,000 a year. In neuroquirurgical patients, a higher risk is estimated due to inmovility and other causes, which influence the endotelial activation and promote thrombosis, including the vascular cerebral hemorragic event or ischemic event and myocardial injury. Due to the lack of guides which allow us a better particular management of this kind of patients, this review of literature was conducted covering both clinical practice guidelines from different countries as well as review articles which gives us an approach of the current trends. Material and methods: Retrospective and review study, search in the medical research platforms: MEDLINE, PUBMED, Cochrane and Clinical Key. The search included review articles as well as methodized reviews, and practical clinical guides, terms applied MeSH, thromboembolism, venous thrombosis, thromboprophylaxis, spine surgery, antithrombotic pre surgery management, prothrombotic stages, and perioperative stroke. Conclusion: For the patients submitted to spine surgery with or without risk factors, the administration of heparine of low molecular weight pre-surgery and the use of intermittent pneumatic compression is indicated. In this case as an alternative to the intermittent compression devices, gradual compression elastic socks can be used.


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