Methods and Guidelines for Venous Thromboembolism Prevention in Polytrauma Patients with Pelvic and Acetabular Fractures

Sequential compression devices and chemical prophylaxis are the standard venous thromboembolism (VTE) prevention for trauma patients with acetabular and pelvic fractures. Current chemical pharmacological contemplates the use of heparins or fondaparinux. Other anticoagulants include coumarins and asp...

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Bibliographic Details
Published in:The open orthopaedics journal 2015, Vol.9 (1), p.313-320
Main Authors: Chana-Rodríguez, Francisco, Mañanes, Rubén Pérez, Rojo-Manaute, José, Haro, José Antonio Calvo, Vaquero-Martín, Javier
Format: Article
Language:English
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Summary:Sequential compression devices and chemical prophylaxis are the standard venous thromboembolism (VTE) prevention for trauma patients with acetabular and pelvic fractures. Current chemical pharmacological contemplates the use of heparins or fondaparinux. Other anticoagulants include coumarins and aspirin, however these oral agents can be challenging to administer and may need monitoring. When contraindications to anticoagulation in high-risk patients are present, prophylactic inferior vena cava filters can be an option to prevent pulmonary emboli. Unfortunately strong evidence about the most effective method, and the timing of their commencement, in patients with pelvic and acetabular fractures remains controversial.
ISSN:1874-3250
1874-3250
DOI:10.2174/1874325001509010313