Venous Thromboembolism Prophylaxis in Neurosurgery

摘要: Venous thromboembolism (VTE) is an encompassing term used to collectively refer the syndromes of deep vein thrombosis (DVT) and pulmonary embolism (PE). Extremity DVT classically presents as a painful, swollen, erythematous limb, while PE manifests with shortness breath, pleuritic chest pain, tachycardia. Almost one million persons are affected by VTE in United States annually causing almost 300,000 deaths, third which occur within month diagnosis. Neurosurgical patients at high risk for VTE. This most frequent systemic complication these it adds morbidity mortality extends length stay. It leading cause preventable death hospitalized patients. Prophylactic measures reduce incidence VTE, both mechanical pharmacological modalities effective; however, former largely without risk, latter associated fresh or worsening cranial spinal hemorrhage precluding its ubiquitous implementation. A nuanced approach problem neurosurgical identification high-risk groups that benefit maximally from prophylactic prudent avoid complications. manuscript details epidemiology, pathophysiology, clinical presentation, diagnosis, prevention, management among