Perioperative venous thromboembolism prophylaxis

From IDWiki

Management

  • Non-orthopedic surgery
    • Can estimate risk using Caprini and Rogers scores
    • If very low risk, no prophylaxis
    • If low risk, intermittent pneumatic compression (IPC)
    • If moderate risk, IPC or UFH/LMWH
    • If high risk, UFH/LMWH
    • If cancer, continue prophylaxis for 4 weeks
    • If significant bleeding risk, consider fondaparinux or aspirin
  • Orthopedic surgery
    • Total hip or knee arthroplasty: LMWH for 14 to 35 days ± IPC
  • Start prophylaxis 12 hours post-operatively unless significant bleeding concerns

Medications

Further Reading

  • Perioperative Management of Antithrombotic Therapy. CHEST. 2012;141(2):e326S-e350S. doi: 10.1378/chest.11-2298