Data collection was be considered complete upon removal of the PICC line. Overall, the percentage of at-risk patients receiving the recommended combined DVT prophylaxis of SCD and pharmacological prophylaxis increased nearly. In case of suspected symptomatic venous thromboembolism, the investigations were performed according to current practice standards. Prophylaxis may be started 24 hrs after a stable repeat head CT scan for patients with mild TBI and the following: a. Low-dose heparin (LDH) and sequential compression device (SCDs) are the most frequently used methods. A 32-year-old Ghanaian woman with HbSS is 10 weeks pregnant. Case 2: VTE Prophylaxis During Pregnancy. Effective and safe thromboprophylaxis is highly desirable to prevent DVT. As with any patient in whom a diagnosis of VTE is being considered, the pretest probability of disease should be assessed. If the PICC line was removed before 5-7 days, an upper extremity ultrasound was obtained upon PICC removal. VTE prophylaxis will be initiated 48-72 hrs after the injury/procedure for most intra cranial hemorrhages and after craniotomy. Background: Deep venous thrombosis (DVT) in severely injured patients is a life-threatening complication. Our objective was to determine whether SCDs applied to the arm may reduce the risk of PICC-associated UE DVT. The patients also had the ultrasound again 12-14 days post insertion if the PICC was kept for more than 10 days. 10.1007/s12025-w Abstract Background: Sequential compression devices (SCDs) applied to the legs effectively reduce lower extremity DVT, but have not been tested in the arms. Patients randomized to the intervention arm had an SCD placed in the arm with the PICC within 24 hours of PICC placement.įive to seven days after placement of the PICC, the patients were examined with venous duplex ultrasound of the upper extremity to assess for the presence of venous thrombosis. All patients had an indwelling 5 French, double lumen PICC unless additional venous access was required by the primary service. Standardized vascular access patency protocols was used in all enrolled patients. In a pilot prospective randomized controlled trial, consecutive patients requiring placement of a PICC line in the Neuroscience intensive care unit were randomly assigned to either the SCD (intervention) group or a non SCD (control) group. Why Should I Register and Submit Results?.
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