VTE Prophylaxis Guidelines for Orthopaedic Exams

Description

The presentation focuses on the updates and implications of the NICE guidelines concerning Deep Vein Thrombosis (DVT) management, particularly in relation to orthopedic surgery. The speaker, a registrar, emphasizes the importance of DVT monitoring and the potential legal implications of preventable cases in hospitals. Key topics include the necessity for a DVT assessment for all orthopedics patients upon admission, the risks associated with anticoagulation treatments, and the necessity for proper patient education regarding the benefits and risks of prophylaxis. A detailed overview of current recommendations for DVT prophylaxis is provided, including the use of chemical prophylactic methods like enoxaparin and newer oral anticoagulants such as rivaroxaban. Recent changes in guidelines are highlighted, especially those related to elective hip and knee replacement surgeries, where aspirin has re-entered as a viable prophylaxis option after initial exclusion. The discussion also covers protocols for various types of surgeries, such as arthroscopy and foot/ankle surgeries, and the importance of adjusting prophylaxis based on surgery duration and patient-specific risk factors. Controversies regarding spinal surgery and the management of DVT prophylaxis in spinal injury patients are addressed as well. The presentation concludes by reiterating the importance of being updated on current guidelines and understanding the mechanisms of action for various anticoagulants to better prepare for potential exam questions and clinical scenarios.

Specialties