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Dr. Todd Ponsky

Pediatric Surgery · View profile →

VTE PPX in High Risk Trauma Patients: 2018 Pediatric Surgery Practice Gap #7

Video Published 2019-06-22 Updated 2024-02-10

Timestops (4)

00:00:15
Introduction to practice gap #7
Introduction to practice gap #7: VTE prophylaxis in high risk trauma patients.
00:00:23
Recommendation for low bleeding risk patients
Recommendation for low bleeding risk patients: SCDs and LMWH.
00:00:34
Recommendation for high bleeding risk patients
Recommendation for high bleeding risk patients: SCDs until ambulatory, then screening ultrasound.
00:00:48
Clarification: High bleeding risk = no LMWH initially.

Topic Overview

Review of 2018 APSA practice guidelines for VTE prophylaxis in high-risk pediatric trauma patients. Low bleeding risk patients receive SCDs plus LMWH; high bleeding risk patients receive SCDs only until ambulatory, with screening ultrasound on ICU day 7.

Key Takeaways

  • Low bleeding risk trauma patients: use SCDs plus low molecular weight heparin for VTE prophylaxis
  • High bleeding risk trauma patients: use SCDs only, defer anticoagulation until ambulatory
  • Screen high bleeding risk patients with ultrasound on ICU day 7 to detect subclinical VTE
  • Risk-stratify pediatric trauma patients before initiating pharmacologic VTE prophylaxis

Keywords

VTE prophylaxis pediatric trauma trauma patients venous thromboembolism SCDs low molecular weight heparin bleeding risk practice gap ultrasound screening Venous Thromboembolism Prophylaxis Sequential Compression Devices Bleeding Risk Stratification

Hashtags

#VTE #PPX #TraumaPatients #PediatricSurgery #PracticeGap #Thromboembolism #SCDs #LowMolecularWeightHeparin #PediatricTrauma #VTEProphylaxis #TraumaSurgery

Transcript

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