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Deep Vein Thrombosis
Deep vein thrombosis is a major complication that can occur after surgical intervention and several possible sequelae may result. Sequelae may include chronic pain, swelling, skin ulceration secondary to post-phlebitic syndrome and pulmonary embolism (PE). See below for related articles on deep vein thrombosis.
Pertinent Pointers On DVT Prophylaxis
While there is sparse information in the podiatric literature on deep vein thrombosis (DVT), these authors offer a thorough review of the orthopedic studies. They discuss potential causes of DVT, the use and timing of prophylaxis medications, and other key points in regard to preventing this serious complication among patients undergoing podiatric surgery.
Featured Content from Podiatry Today
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Up Close and Personal with Deep Vein Thrombosis
Deep vein thrombosis ? the formation of clots in one of the body?s deep veins (usually in the lower extremities) ? develops as a result of vascular damage to the vein wall, venous stasis, and hypercoagulability (Virchow?s triad). Among the many problems it can cause, the condition can escalate the challenge of healing a chronic wound. If a patient presents with pain, swelling, warmth, muscle cramps, and/or redness, the clinician should consider deep vein thrombosis, even if the patient does not initially appear to be at risk. Because approximately 2 million Americans have deep vein thrombosis every year (including otherwise healthy adults, the elderly, and persons with and without a history of venous insufficiency), prompt attention to symptoms is warranted. Diagnosis takes into consideration risk factors such as hypercoagulability, estrogen contraception, and Factor V Leiden mutation and is confirmed via compression ultrasonography and duplex ultrasound. Management includes anticoagulation therapy and thrombolytic therapy; prevention focuses on avoiding long periods of sitting, wearing compression hose when necessary and, for persons at risk, prophylactic anticoagulant therapy. Prescribed bedrest as a result of deep vein thrombosis provided one clinician/patient who did not consider herself to be at risk the opportunity to explore the condition in depth. KEYWORDS: case study, review, deep vein thrombosis, risk factors, treatment
Featured Content from Ostomy Wound Management
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Optimal Treatment of Venous Thromboembolism in the Elderly
Optimal Treatment of Venous Thromboembolism in the Elderly Optimal Treatment of Venous Thromboembolism in the Elderly Anne Grand? This article reviews current issues in VTE treatment in the elderly: treatment approaches for acute VTE, including anticoagulant therapy with heparin? However, from previous trials in which mean patient age was 60 years or older, patient age was not associated with an increased incidence of recurrent thromboembolic events or major bleeding.18,20 Therefore, LMWHs ...
Featured Content from Clinical Geriatrics
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A Closer Look At Deep Vein Thrombosis
Given the potentially serious complications of deep vein thrombosis, this author discusses the risk factors, diagnostic essentials and insights on effective treatment of this condition.
Featured Content from Podiatry Today
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Use of Low Molecular Weight Heparins
Patients at greatest risk for deep venous thrombosis include those undergoing orthopedic surgical procedures, patients with malignancy undergoing major surgery, patients who have sustained multiple trauma, and patients with stroke. Heparin-induced thrombocytopenia in patients treated with low-molecular-weight heparin or unfractionated heparin. Low-molecular-weight heparins compared with unfractionated heparin for treatment of acute deep venous thrombosis.
Featured Content from Clinical Geriatrics
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Ask the Expert Question and Answer
Ask the Expert Question and Answer Ask the Expert Question and Answer Is DVT prophylaxis warranted in the nonambulatory long-term care resident? With regard to nursing home residents, DVT prophylaxis studies with the above agents have exclusively looked at patients receiving rehabilitation post-hip or post-knee surgery,3-6 or following acute stroke.7 In these groups prophylaxis appears to be beneficial. Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: ...
Featured Content from Annals of Long-Term Care
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Abstracts From Recent Medical Literature For the Geriatric Practitioner
Short-Duration Prophylaxis Against Venous Thromboembolism After Total Hip or Knee Replacement: A Meta-Analysis of Prospective Studies Investigating Symptomatic Outcomes The prevalence of asymptomatic deep vein thrombosis diagnosed by venography following hip or knee replacement in patients remains high despite short-term prophylaxis (ie, 7-10 days of fixed-dose low-molecular? The studies were classified into clinical outcome studies if the outcome was symptomatic venous thromboembolism, and ...
Featured Content from Annals of Long-Term Care
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CME ArticleLow-Molecular-Weight Heparin in the Elderly
Educational Objectives 1. To recognize the indications for low-molecular-weight heparin 2. To understand the basic pharmacology of low-molecular-weight heparin 3. To recognize the risks associated with low-molecular-weight heparin 4. To learn about the use of low-molecular-weight heparin in the elderly Heparins are the most widely used parenteral anticoagulants. For many indications, low-molecular-weight heparin (LMWH) offers distinct clinical advantages over unfractionated heparin (UFH). ...
Featured Content from Clinical Geriatrics
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Vascular Intervention In Difficult Wounds
An all too common factor in intractable lower extremity wounds, vascular insufficiency must be diagnosed accurately and managed comprehensively to achieve wound healing and, in some cases, to preserve the limb. This vascular surgeon provides key insights for detecting and treating this spectrum of clinical problems.
Featured Content from Podiatry Today
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Abstracts from Medical Literature for the Geriatrics Practitioner
The authors concluded that low cardiorespiratory fitness was associated with an increased risk for any stroke and ischemic stroke. DEEP VEIN THROMBOSIS IN ELDERLY PATIENTS HOSPITALIZED IN SUBACUTE CARE FACILITIES Venous thromboembolism is a common clinical problem among hospitalized patients. CONTEMPORARY MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE: CLINICAL APPLICATIONS Chronic obstructive pulmonary disease (COPD) usually has an insidious presentation, and many patients are ...
Featured Content from Annals of Long-Term Care
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